脐动脉血流测定预测胎儿缺氧与围产儿结局分析

Analysis of umbilical artery blood flow measurement in predicting fetal hypoxia and perinatal fetal outcome

目的:分析脐动脉血流测定预测胎儿缺氧在胎儿宫内缺氧的早期诊断及围产儿监护的临床价值。方法:选取我院2011年1月～2012年4月产前检查和分娩的孕产妇174例,应用彩色多普勒脐动脉血流检测仪测定胎儿脐动脉血流,其中血流异常孕妇设为异常组,血流正常孕妇设为对照组,观察脐动脉血流与胎儿宫内缺氧程度、妊娠结局的关系。结果:异常组提示胎儿宫内缺氧,且围产儿不良结局发生率明显高于正常组(P<0.05)。结论:产前监测胎儿脐动脉血流指标,可以了解胎儿胎盘循环状态,对胎儿宫内缺氧的早期诊断及治疗效果判定、围产儿预后方面具有积极作用。

Objective： To analyze clinical significances of umbilical artery blood flow measurement for the prediction of fetal hypoxia in early diagnosis of fetal hypoxia and perinatal fetal monitoring. Methods： A total of 174 pregnant women admitted to our hospital for prenatal examination and deliveries from January 2011 to April 2012 were enrolled. Color Doppler umbilical artery blood flow detector were utilized to measure umbilical artery blood flow, and those with abnormal blood flow were set as abnormal group, while normal ones were set as control group. Association of umbilical artery blood flow to fetal hypoxia degree and pregnancy outcomes were observed. Results： Abnormal group showed fetal hypoxia, and it has significantly higher incidence rate of perinatal fetus bad outcome than control group （P〈0.05）. Conclusion： Prenatal umbilical artery blood flow measurement enables awareness of fetal placenta circulation state, exerting a positive role in early diagnosis and efficacy assessment of fetal hypoxia together with perinatal fetal prognosis.