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产时羊水乳酸预测胎儿窘迫的价值 被引量：2

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摘要 胎儿窘迫是产科医师十分关注的问题，普遍认为胎儿窘迫是胎儿及新生儿脑损害的主要原因。据统计，至少7％～15%围产儿死亡和儿童神经损害是由于分娩时胎儿窘迫所致。目前临床上采用的电子胎心监护虽对严重的宫内低氧起到了一定的预报作用，但存在较高的假阳性率，导致了一些不必要的临床干预，在一定程度上增加了剖宫产率。随着人们对胎儿窘迫机制的进一步研究，代谢性酸中毒对胎儿的影响及反映代谢性酸中毒的血乳酸的测定日益受到产科医师的关注。而羊水乳酸与胎儿脐血乳酸密切相关，且检测方法更简便，
作者 梅春美 陈健 吕杰强
机构地区 温州医学院第二附属医院妇产科
出处 《温州医学院学报》 CAS 2008年第4期386-388,共3页 Journal of Wenzhou Medical College
关键词 胎心监护 羊水 乳酸 胎儿窘迫
分类号 R714.7 [医药卫生—妇产科学]
  • 相关文献

参考文献22

  • 1Paul ,MD, MRCPCH,et al.placental lactate transporter ac tivity and expression in intrauterine growth restriction[J]. Soc Gynecol Investig,2006,13(5):357-363.
  • 2Scheve EJ ,Brace RA. Amniotic fluid volume responses to intra-amniotic infusion of lactate in fetal sheep[J]. J Soc Gynecol Investig,2000,7(2):96-101.
  • 3Emanuel A,Mary,Maurice,et al.the distribution and metabolsm of cl4- labeledlacticacid and bicarbonate in preg nant primates[J].J Clin invest, 1960,39:227-235.
  • 4Richards k,Apatu ,Richard j.Blood flow to and the metabo lism of glucose and lactate by the liver in vivo in fetal, newborn and adult sheep[J].J Physiol,1991,436 (1):431-447.
  • 5Rishi ,Saroj K,Sanjay, et al. Lactate: creatinine ratio in ba bies with thin meconium staining of amniotic fluid[J]. BMC Pediatr,2006,6( 10): 13.
  • 6Powell TL, Brace RA. Elevated fetal plasma lactate pro duces polyhydramnios in the sheep[J]. Am J Obstet Gynecol, 1991,165(6Pt 1 ): 1595-1607.
  • 7Larry C, MD, Cecilia Y, et al.lncreased urinary flow without development of polyhydramnios in response to prolonged hypoxia in the ovine fetus[J]. Am J Obstet Gynecol,2001, 184(5):1008-1014.
  • 8Mark A, William M, Michael E Amniotic Fluid: Not Just Fetal Urine Anymore[J]. Perinatol,2005,25(5):341-348.
  • 9张华,张建华,吴味辛.胎心监护不良图形与胎儿不良预后的关系[J].中华围产医学杂志,2002,5(1):76-78. 被引量：30
  • 10WestgreM, DivonM, HoralM ,et al. Routine measurements of umbillical artery lactate levels in the prediction of peri natal outcome[J]. Am J Obstet Gynecol, 1995,173(3):1416- 1422.

二级参考文献36

  • 1刘俐,周宏艳,冯占伟,贺莉,苏祖佑.尿S100B蛋白和乳酸/肌酐在新生儿缺氧缺血性脑病早期诊断中的应用价值[J].中华儿科杂志,2005,43(8):564-567. 被引量：22
  • 2Liu KZ, Mantsch HH. Simuhaneous quantitation from infrared spectra of glucose concentrations, lactate concentrations, and lecithin/sphingomyelin ratio in amniotic fluid. Am J Obstet Gynecol, 1999,180 ( 3 ) : 696 -702.
  • 3Westgren M, Kruger K, EK S, et al. Lactate compared with pH analysis at fetal ,scalp blood sampling: a prospective randomized study. Br J Obstet Gynaecol, 1998,105( 1 ) :29-33.
  • 4National Institute of Child Health and Human Development Research Planning Workshop.Electronic fetal heart rate monitoring:research guidelines for interpretation Am J Obstet Gynecol,1997.177(6):1385-1390.
  • 5Matsumoto LC, Cheung CY, Brace RAt. Increased urinary flow without development of polyhydramnios in response to prolonged hypoxia in the ovine fetus. Am J Obstet Gynecol, 2001,184 (5) :1008-1014.
  • 6Low JA,Victory R, Derrick El. Predictive value of electronic fetal monitoring for intrapartum fetal asphyxia with metabolic acidctsis.Olxstet Gynecol, 1999,93 (2) : 285-291.
  • 7Richey SP. The biochemical indexes of amnionic fluid with meconim and neon atal[J]. Am,J Obstet, 1993(4):1212-1215.
  • 8郑怀美.妇产科学[M](第3版)[M].北京:人民卫生出版社,1995.217.
  • 9曾蔚越.胎儿头皮血气分析监测胎儿宫内窘迫[J].中华妇产科杂志,1983,18(1):200-202.
  • 10金丰荣.慢性胎儿窘迫时羊水中LDH变化的意义[J].产妇人科世界,1986,32:29-29.

共引文献46

同被引文献17

  • 1张海鹰,郭晓辉,苏放明,徐宏里.羊水乳酸水平及胎心监护预测胎儿窘迫的价值[J].中国实用妇科与产科杂志,2005,21(1):35-37. 被引量：14
  • 2NICHOLSON J K, LINDON J C, HOLMOES E. Metabonomics: Understanding the metabolic responses of living systems to pathophysiological stimuli via multivariate statistical analysis of biological NMR speetroseopie data[J]. Xenobiotica, 1999, 29(11): 1181-1189.
  • 3KAZUKI A, SHIGENORI M, MISAKO I, et al. ^1H NMR-based metahonomic analysis of urine from young spontaneously hypertensive rats[J]. Journal of Pharmaceutical and Biomedical Analysis, 2008, 46: 550-556.
  • 4BERTRAM H C, KRISTENSEN N B, MALMENDAL A, et al. A metabolomie investigation of splanchnic metabolism using ^1H NMR spectroscopy of bovine blood plasma[J]. Analytica Chimiea Aeta, 2005, 536t 1-6.
  • 5HOLMES E, NICHOLSON J K, TRANTER G. Metabonomic characterization of genetic variations in toxicological and metabolic responses using probabilistic neural networks [J]. Chem Res Toxicol, 2001, 14: 182-191.
  • 6ZHENGYF, XU G W, LIU D Y, et al. Study of urinary nucleosides as biological marker in cancer patients analyzed by Micellar Electrokinetic Chromatography[J]. Electrophoresis, 2002, 23:4104-4109.
  • 7BRECKER L, WEBER H, GRIENGL H, et al. In situ proton-NMR analysis analysis of Eseheriehia coli HB101 fermentations in (H2O)-H -1 and in D2O[-J]. Microbiology, 1999, 145(12): 3389-3397.
  • 8GONCALO G, IOLA F D, BRIAN J, et al. Potential of NMR spectroscopy for the study of human amniotic fluid[J]. Anal Chem, 2007, 79: 8367-8375.
  • 9PASCAL MWG, UDO FE, RON AW, et al. High-resolution 1H NMR spectroscopy of amniotic fluids from spina bifida fetuses and controls[J]. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2004,112:16-23.
  • 10JAY L B. Metabolic profiling of amniotie fluid by proton nuclear magnetic resonance spectroscopy: Correlation with fetal Maturation and other clinical variables[J]. Clinical Chemistry, 1994, 40(1):56-61.

引证文献2

温州医学院学报
2008年 第4期

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