胎儿生长受限孕妇原因分析及监测治疗的探讨

The analysis of causing fetal growth restriction for pregnant women and its measure anh treatment

目的探讨与胎儿生长受限(FGR)相关病因及监测治疗。应用彩色多谱勒超声检查胎儿脐动脉血流,监测胎儿脐动脉收缩期与舒张末期的血流速度之比(S/D),来了解胎儿生长受限孕妇的胎儿预后。方法对121例FGR孕妇,按其发病原因分组,进行归类分析;采用胎儿脐动脉检测仪探测胎儿脐动脉血流速度的频谱图,测算出S/D值;探讨改善胎儿预后的治疗方法。结果脐带因素、妊娠并发症、支原体阴道炎、贫血、及遗传因素等是发生FGR的主要原因。胎儿生长受限孕妇的脐血流S/D值明显高于正常的孕妇。当S/D值升高时,围生儿不良结局的发生率也明显升高。结论加强产前、产时监护,及早发现导致FGR的高危因素,积极治疗妊娠并发症及合并症,对改善围生儿预后,降低围生儿死亡,具有极其重要的意义,对胎儿生长受限的孕妇进行脐血流监测,能及早发现情况,及时处理。氧疗以及应用复方氨基酸、能量合剂等药物静脉注射联合治疗效果良好。孕晚期及时处理可以改善胎儿预后。

Objective ： To study the related causing of fetal growth restriction （FGR） and its measure and treatment. To use color Doppler ultrasound examination of fetal umbilical artery blood flow and monitoring the velocity ratio （S/D） of fetal umbilical artery systolic and diastolic blood flow to learn about fetal growth restriction of fetal prognosis in pregnant women. Methods ： 121 cases of FGR of pregnant women are grouped according to their cause, classified and analysed, the fetal umbilical artery detector are used to detect fetal umbilical artery blood flow velocity of the frequency spectrum to measure S/D value ; and to examine ways of improving the prognosis of treatment of fetal. Results： the main causes of FGR are due to umbilical cord factors, pregnancy complications, Myooplasma vaginitis, anemia, and genetic factors. The umbilical blood flow S/D value for fetal growth restriction of pregnant women was significantly higher than that of normal pregnant women. With the S/D value increasing, the adverse perinatal outcomes are significantly higher. Conclusion： It is extremely important for improving the perinatal prognosis and reducing perinatal death to guard the early detection of risk factors lead to FGR and give the active treatment for complications of pregnancy - related. It can be found as early as possible to tackle them promptly by monitoring the flow for pregnant women with fetal growth restriction. Oxygen therapy and the application of compound amino acid, energy mixture of intravenous drugs such as combination therapy will do it well. Timely processing of afternoon of pregnancy can improve fetal prognosis.