胎儿生物物理相评分、脐动脉血S/D值在高危妊娠监护中的临床意义

CLINICAL SIGNIFICANCE OF FETAL BIOPHYSICAL PROFILE AND UMBILICAL ARTERY BLOOD S/D VALUE IN HIGH RISK PREGNANCY

目的 :应用胎儿生物物理相评分、脐动脉血 S/ D比值对高危妊娠的孕妇进行产前监护 ,了解胎儿在宫内的安危 ,预测围生儿预后。方法 :对 41例高危孕妇进行胎儿生物物理相评分 (BPP)及脐动脉血 S/ D比值测定 ,胎儿出生后取脐动脉血进行分析 ,测脐血 p H值。结果 :胎儿生物物理相评分越低 ,其羊水污染、胎儿酸中毒、新生儿窒息的发生率越高。BPP评分越低 ,S/ D比值异常的发生率就越高。结论 :BPP及脐动脉血 S/ D值对高危孕妇的监护及指导临床处理、降低围生儿死亡率具有重要的临床意义。

Objective:To observe the safety of the fetus in the uterus and predict the perinatal prognosis of the fetal monitoring of the high-risk gravida by using the fetal biophysical prefile(BPP) and umbilical artery blood S/D value. Methods: To measure the BPP and umbilical artery blood S/D of 41 high-risk pregnancies, and analyze and test the PH value of the umbilical blood after birth. Results: The lower the BPP, the higher the amniotic fluid is contaminated, at a higher rate is the fetus acid poisoned and suffocated. The lower the BPP, the higher the abnormality of the S/D value. It indicated that the results of BPP and umbilical artery blood S/D were basically identical. Conclusion: BPP and umbilical artery blood S/D value are of great clinical importance for the monitoring of high-risk pregnancy and the decrease of the mortality rate of the perinatal.