CAJ | 학술논문

目的：探讨脐动脉血乳酸及 pH 值测定在胎儿窘迫中的临床价值。方法采集我院2011年3月至2014年6月收治的妊娠大于36周孕妇1024例，按照临床诊断胎儿窘迫标准及胎心监护异常分为研究组（有胎儿窘迫征）588例和观察组（无胎儿窘迫征）436例，在胎儿娩出尚未呼吸前立即行胎儿脐动脉血乳酸及 pH 值测定，并进行结果分析。结果研究组乳酸值较对照组高，pH值＜7．20前组较后组显著增多，与观察组对比，差异有统计学意义（P＜0．05）。结论脐血乳酸及 pH值测定应用于临床将提高临床胎儿窘迫诊治率，便于及早进行干预，预防新生儿窒息的发生，有利于降低新生儿病死率。
목적：탐토제동맥혈유산급 pH 치측정재태인군박중적림상개치。방법채집아원2011년3월지2014년6월수치적임신대우36주잉부1024례，안조림상진단태인군박표준급태심감호이상분위연구조（유태인군박정）588례화관찰조（무태인군박정）436례，재태인면출상미호흡전립즉행태인제동맥혈유산급 pH 치측정，병진행결과분석。결과연구조유산치교대조조고，pH치＜7．20전조교후조현저증다，여관찰조대비，차이유통계학의의（P＜0．05）。결론제혈유산급 pH치측정응용우림상장제고림상태인군박진치솔，편우급조진행간예，예방신생인질식적발생，유리우강저신생인병사솔。
Objective To explore the clinical significance of the measurement of umbilical arterial blood lactate and pH value in the diagnosis of fetal distress.Methods We collected 1024 cases of pregnant women whose pregnancy were more than 36 weeks and all these pregnant women were treated at our hospital from March 2011 to June 2014. Acording to the standard of clinical diagnosis of fetal distress and the abnormal rate of fetal heart,all these patients were divided into case group(fetal distress syndrome)totaling 588 cases and control group(non-fetal distress syn-drome)totaling 436 cases.When the fetus not yet have breathe,we immediately mearured the umbilical arterial blood lactate and pH value and analysised the results.Results The lactate value of case group were higher than the control group,the former group's pH value (<7.20)was significantly increased compared with the after group,and comparing with the control group,the difference has statistically significant(P<0.05).Conclusion The umbilical arterial blood lactate and pH value measurement used in clinical will increase the rate of clinical diagnosis of fetal distress,facilitate early intervention,prevent neonatal asphyxia and help to reduce neonatal mortality.