Treatment and outcome of childbirth depend on the acidobasic balance of the fetal blood related to the oxygen and carbon dioxide level. Hypoxemia could lead to asphyxia that is why fetal monitoring and biochemical par...Treatment and outcome of childbirth depend on the acidobasic balance of the fetal blood related to the oxygen and carbon dioxide level. Hypoxemia could lead to asphyxia that is why fetal monitoring and biochemical parameters assessment are mandatory. Although there are compensatory mechanisms that temporarily protect the fetus, there are also other factors that interfere with the oxygenation of the fetus and determine the development of the fetus and the newborn. Actually, the level of the oxygen, the carbon dioxide, the acidobasic balance and the pH are the cornerstones of the well-being of the fetus.展开更多
目的探讨脐动脉血不同pH值与胎儿宫内窘迫的相关性。方法选择2020年7月—2021年4月常熟市中医院产科胎儿宫内窘迫新生儿40例(观察组)和无胎儿宫内窘迫症状的新生儿40名(对照组)为研究对象。两组新生儿均接受脐动脉血pH值监测分析,比较...目的探讨脐动脉血不同pH值与胎儿宫内窘迫的相关性。方法选择2020年7月—2021年4月常熟市中医院产科胎儿宫内窘迫新生儿40例(观察组)和无胎儿宫内窘迫症状的新生儿40名(对照组)为研究对象。两组新生儿均接受脐动脉血pH值监测分析,比较脐动脉血不同pH值与胎儿宫内窘迫的相关性。结果观察组脐动脉血pH值低于对照组,脐动脉BE值高于对照组,差异有统计学意义(P<0.05)。观察组脐动脉血pH<7.0组发生胎儿宫内窘迫的比例最高(42.50%)。新生儿1 min Apagr评分与脐动脉血pH值呈正相关(r=0.337,P<0.001),脐动脉血pH值与胎儿窘迫发生率呈负相关(r=-0.596,P<0.001);脐动脉血pH值与BE值呈负相关(r=-0.724,P<0.001)。结论新生儿脐动脉血pH值越低,胎儿宫内窘迫发生率越高,值得临床重视并推广。展开更多
文摘Treatment and outcome of childbirth depend on the acidobasic balance of the fetal blood related to the oxygen and carbon dioxide level. Hypoxemia could lead to asphyxia that is why fetal monitoring and biochemical parameters assessment are mandatory. Although there are compensatory mechanisms that temporarily protect the fetus, there are also other factors that interfere with the oxygenation of the fetus and determine the development of the fetus and the newborn. Actually, the level of the oxygen, the carbon dioxide, the acidobasic balance and the pH are the cornerstones of the well-being of the fetus.
文摘目的探讨脐动脉血不同pH值与胎儿宫内窘迫的相关性。方法选择2020年7月—2021年4月常熟市中医院产科胎儿宫内窘迫新生儿40例(观察组)和无胎儿宫内窘迫症状的新生儿40名(对照组)为研究对象。两组新生儿均接受脐动脉血pH值监测分析,比较脐动脉血不同pH值与胎儿宫内窘迫的相关性。结果观察组脐动脉血pH值低于对照组,脐动脉BE值高于对照组,差异有统计学意义(P<0.05)。观察组脐动脉血pH<7.0组发生胎儿宫内窘迫的比例最高(42.50%)。新生儿1 min Apagr评分与脐动脉血pH值呈正相关(r=0.337,P<0.001),脐动脉血pH值与胎儿窘迫发生率呈负相关(r=-0.596,P<0.001);脐动脉血pH值与BE值呈负相关(r=-0.724,P<0.001)。结论新生儿脐动脉血pH值越低,胎儿宫内窘迫发生率越高,值得临床重视并推广。
