彩超监测胎儿肾动脉血流预测胎儿宫内窘迫临床剖析.docVIP

彩超监测胎儿肾动脉血流预测胎儿宫内窘迫临床剖析 　　[摘要] 目的 分析彩超监测胎儿肾动脉血流预测胎儿宫内窘迫临床价值。方法 方便选取并回顾性分析在该院定期产检和分娩的90例孕妇的临床资料，依据胎儿是否存在宫内窘迫现象分为研究组（n=48）及对照组（n=42），使用彩超对孕妇的肾动脉血流相关指标进行检测，并统计新生儿Apgar评分。结果 研究组的脐动脉血流速度值、肾动脉血流速度值、搏动指数、阻力指数分别为（3.24±0.51）、（6.47±2.03）、（1.24±0.14）、（0.74±0.11），均明显高于对照组的（2.13±0.31）、（5.33±1.22）、（0.95±0.09）、0.55±0.07），差异有统计学意义（P7分为16例（33.33%），明显低于对照组的31例（73.81%），差异有统计学意义（P0.05）。结论 彩超监测胎儿肾动脉血流可准确预测胎儿宫内窘迫的严重程度，提高胎儿成活率。 　　[关键词] 彩超；肾动脉血流；胎儿；宫内窘迫 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-0742（2016）05（c）-0170-03 　　[Abstract] Objective To analyze the clinical value of fetal renal arterial blood flow by color Doppler ultrasonography in predicting fetal distress in uterus. Methods The clinical data of 90 cases of pregnant women with regular prenatal examination and giving birth in our hospital were retrospectively analyzed， and they were divided into the research group （n=48） and control group （n=42） according to whether there was the distress in uterus phenomenon in fetus， the renal arterial blood flow relevant indexes of pregnant women were detected by color Doppler， and the Apgar scores in newborns were counted. Results The umbilical artery blood velocity value， renal artery blood velocity value， pulsatility index and resistance index in the research group were obviously higher than those in the control group， [（3.24±0.51），（6.47±2.03），（1.24±0.14），（0.74±0.11） vs（2.13±0.31），（5.33±1.22），（0.95±0.09），（0.55±0.07）]， and the differences were obvious（P7 in the research group was obviously lower than that in the control group（16 cases vs 31 cases）， （33.33% vs 73.81%）， and the differences were obvious（P0.05）. Conclusion Fetal renal arterial blood flow by color Doppler ultrasonography can accurately predict the severity of fetal distress in uterus and improve the fetal survival rate. 　　[Key words] Color Doppler； Renal arterial blood flow； Fetal； Distress in uterus 　　胎儿宫内窘迫是指胎儿在宫内存在缺氧征象，严重危及胎儿生命和健康，是造成新生儿死亡的主要因素[1]。胎儿宫内窘迫的发病率较高，占胎儿出生率的10%左右，是剖宫产的主要适应征，其主要发生在临产过程，也会发生在妊娠后期[2]。因此准确对胎儿宫内窘迫的严重程度进