羊水中激活素A对胎儿窘迫的预测价值

The predictive value of active a as a index on fetal distress in amniotic fluid

目的探讨分娩时羊水中的激活素A(ACTA)水平预测胎儿窘迫的意义。方法对92例孕妇分娩时留取羊水检测ACTA水平,根据不同羊水性状中ACTA的水平,分析它们之间的关系。结果胎儿窘迫组羊水中的激活素A(AC-TA)水平明显高于对照组,羊水I度污染与羊水Ⅱ污染ACTA的水平有明显差异,P<0.05;羊水I度污染与羊水Ⅲ污染时ACTA的水平有明显差异,P<0.05;而羊水Ⅱ度污染与羊水Ⅲ污染时ACTA的水平无明显差异,P>0.05。结论羊水中激活素A(ACTA)对胎儿窘迫有预测价值,可作为一种新的指标来预测胎儿窘迫。

Objective：To assess the value of active A （ACTA） as a new index on fetal distress. Methods： Data were collected from 92 pregnant wemen who were a1l giving birth. The levels of ACTA amniotic fluid were measured.Then to analise the data according to different amniotic fluid character. Results： The levels of 1ACTA in fetal distress groups were much higher than that of control groups.There are significant different between 1 and 2 grade amniotic fluid pollution groups ,P〈0.05.and likewise,it is the same between 1and 3 grade amniotic fluid pollution groups,P〈0.05.But there is no difference between 2 and 3 grade amniotic fluid pollution groups ,P〉0.05.Conclusions：It is a new index to predictive fetal distress.