红细胞压积及胎盘功能变化与胎儿预后关系的探讨

Relationship between fetal prognosis and placental functional changes and hematocrit

本文对202例正常和异常妊娠孕妇测定尿E/C比值和血SP_1值,其中测定红细胞压积者71例。结果表明胎儿预后不良组E/C比值多数为下降型和水平型;联合测定表明两项指标测定可提高预测胎儿预后的准确性。红细胞压积≥0.35时胎儿预后不良的发生率明显高于<0.35组(P<0.01)。本文认为测定红细胞压积可间接了解胎盘功能情况及预测胎儿预后。

In this paper, 202 normal and abnormal pregnancies were determined for urine E/C ratio, serum SP1 levels and hematocrit. The results indicated that in the unfavourable prognostic group, the E/C ratio assumed the descending or horizontal pattern. Combined measurement of these 2 indexes might increase the accuracy of fetal prognosis monitoring. Incidence of fetal unfavourable prognosis was higher in cases with hematocrit equal to or higher than 0. 35 than those with hematocrit lower than 0. 35. We thought that measurement of hematocrit may enable us to understand indirectly the placental function and monitor fetal prognosis.