摘要
胎儿在子宫内因急性或慢性缺氧危及其健康者称为胎儿宫内窘迫,发生率为2.7%-38.5%。胎儿宫内窘迫严重影响胎儿预后,产前预测和诊断胎儿宫内窘迫缺乏单一、可靠的检测指标。临床上常见胎儿宫内窘迫的检测方法包括:胎儿电子监护、生物物理评分、羊水量检测、脐动脉血流、大脑中动脉血流等,该文针对这些常用检测方法的诊断标准、临床有效性、局限性等进行综述,并对超声在检测胎儿宫内窘迫中的应用价值及应用前景进行评价。
Fetal distress,with an incidence of 2.7%-38.5%, is a status when the fetus in the uterus suffers from acute or chronic hypoxia which endangers its health. Fetal distress seriously affects fetal progno sis, but there is a lack of a reliable detection index in the prediction and diagnosis of fetal distress. At pres ent, the electronic fetal monitoring, the measurement of amniotic fluid, biophysical profile, the index of the fetal umbilical artery and the blood flow in the middle cerebral artery are widely used in clinical. Here is to summarize the diagnostic criteria, clinical effectiveness and limitations of common clinical test methods for fetal distress, and to make an evaluation of the application and prospect of ultrasound in the detection of fetal distress.
出处
《医学综述》
2014年第8期1471-1474,共4页
Medical Recapitulate
关键词
胎儿宫内窘迫
超声
脐动脉
大脑中动脉
Fetal distress
Ultrasonography
Umbilical artery
Middle cerebral artery