胎心监护与胎儿超声多普勒血流参数在胎儿监护方面的应用

Fetal heart rate monitoring and fetal ultrasonic Doppler blood flow parameters in fetal monitoring

胎心监护与胎儿超声多普勒血流参数测量是目前临床上最常用的胎儿监护方法,这2项监护技术具有无创、操作简单、阴性预测值高等特点,成为胎儿宫内状况评估最重要的手段。胎心监护广泛用于产前和产时的监护,而超声多普勒血流监测主要应用于产前的胎儿监护,尤其在生长受限胎儿的安全性监护方面有较高的预测价值。对于高危胎儿,胎心监护联合彩色多普勒血流参数可提高对胎儿缺氧的预测价值,并指导临床采取有效措施改善妊娠结局。

Fetal heart rate monitoring and fetal ultrasonic Doppler flow parameters are the most commonly used methods for fetal monitoring in clinical practice.These two monitoring methods have the characteristics of non-invasiveness,simple operation and high negative predictive value,making them the most important means for the evaluation of fetal intrauterine status.Fetal heart rate monitoring is widely used in prenatal and intrapartum monitoring,while ultrasonic Doppler blood flow monitoring is mainly used in prenatal fetal monitoring,and it has high predictive value in the monitoring of fetuses with growth restriction. For highrisk fetuses,fetal heart rate monitoring combined with color Doppler flow parameters can improve the predictive value of fetal hypoxia and guide clinical practice of taking effective measures to improve pregnancy outcomes.