CAJ | 학술논문

目的：探讨脐血流频谱改变对胎儿心脑血流动力学及预后的影响。方法选取2008-01～2009-12间经超声检测脐血流频谱改变的76例孕妇，测量并观察脐动脉、脐静脉、大脑中动脉及胎心率，观察脐动脉及脐静脉血流频谱改变与胎儿宫内窘迫发生的关系。结果当脐动脉血流频谱形态表现为舒张期没有血流或出现反向血流时，脐静脉血流频谱异常明显增多；并且在该情况下，胎儿宫内窘迫发生率明显增多。结论应用彩色多普勒超声检测胎儿脐血流频谱改变对胎儿宫内窘迫诊断具有重要临床价值。
목적：탐토제혈류빈보개변대태인심뇌혈류동역학급예후적영향。방법선취2008-01～2009-12간경초성검측제혈류빈보개변적76례잉부，측량병관찰제동맥、제정맥、대뇌중동맥급태심솔，관찰제동맥급제정맥혈류빈보개변여태인궁내군박발생적관계。결과당제동맥혈류빈보형태표현위서장기몰유혈류혹출현반향혈류시，제정맥혈류빈보이상명현증다；병차재해정황하，태인궁내군박발생솔명현증다。결론응용채색다보륵초성검측태인제혈류빈보개변대태인궁내군박진단구유중요림상개치。
Objective To investigate effect of changes in fetal umbilical blood flow spectrum on cerebral hemodynamics and prognosis of fetal.Methods Evaluating umbilical blood flow changes in the spectrum of 76 cases of pregnant women by ultrasound from January , 2008 to December , 2009.Measuring and observing the umbilical artery , umbilical vein , middle cerebral artery and fetal heart rate , and investigating the relationship between umbilical blood flow spectrum changing and fetal distress.Results When the umbilical artery diastolic spectral shape didn′t appear blood flow or the reverse flow of blood , umbilical venous flow abnormalities increased significantly.And in this case , the incidence of fetal distress increased significantly.Conclusion The application of color Doppler ultrasound in detecting fetal umbilical blood flow changing has important clinical value to the diagnosis of fetal distress .