CAJ | 학술논문

目的：研究胎监联合脐血流 S/D 比值在临床方面预测胎儿宫内窘迫的临床意义。方法对我院2013年7月～2014年7月收治的80例孕妇在妊娠30周时对其进行常规的脐血流 S/D 比值的记录和胎心监护结果检测，并比较新生儿 Apgar 评分，对宫内窘迫进行诊断并比较。结果监测脐血流 S/D 比值中的反应型和 S/D ＜3的孕妇中，其胎儿宫内窘迫的发生率为2.94%（2/68），无反应型和 S/D ＜3的孕妇其胎儿宫内窘迫的发生率为50.00%（1/2），对两组进行比较差异具有统计学意义( P ＜0.01），无反应型和 S/D ＜3的孕妇其胎儿宫内窘迫的发生率为50.00%（1/2），反应型和 S/D ≥3的孕妇其胎儿宫内窘迫的发生率是25.00%（1/4），通过与无反应型及 S/D ≥3进行比较，差异具有统计学意义（P ＜0.01）。无反应型和 S/D ≥3的6例随后均确定是胎儿宫内窘迫，其符合率是100.00%（6/6）。结论胎监联合脐血流 S/D 比值预测可明显提升诊断胎儿宫内窘迫正确率，对胎儿预后起到改善作用，并且减少围产儿的死亡率。
목적：연구태감연합제혈류 S/D 비치재림상방면예측태인궁내군박적림상의의。방법대아원2013년7월～2014년7월수치적80례잉부재임신30주시대기진행상규적제혈류 S/D 비치적기록화태심감호결과검측，병비교신생인 Apgar 평분，대궁내군박진행진단병비교。결과감측제혈류 S/D 비치중적반응형화 S/D ＜3적잉부중，기태인궁내군박적발생솔위2.94%（2/68），무반응형화 S/D ＜3적잉부기태인궁내군박적발생솔위50.00%（1/2），대량조진행비교차이구유통계학의의( P ＜0.01），무반응형화 S/D ＜3적잉부기태인궁내군박적발생솔위50.00%（1/2），반응형화 S/D ≥3적잉부기태인궁내군박적발생솔시25.00%（1/4），통과여무반응형급 S/D ≥3진행비교，차이구유통계학의의（P ＜0.01）。무반응형화 S/D ≥3적6례수후균학정시태인궁내군박，기부합솔시100.00%（6/6）。결론태감연합제혈류 S/D 비치예측가명현제승진단태인궁내군박정학솔，대태인예후기도개선작용，병차감소위산인적사망솔。
Objective To study the clinical significance of fetal heart monitoring and umbilical blood flow S/D ratio on the prediction of fetal distress. Methods 80 pregnant women with 30 weeks pregnancy, who were received and cured in our hospital from July 2013 to July 2014, were selected to record the umbilical blood flow S/D ratio and to detect the results of fetal heart monitoring. To compare the Apgar score of newborn, to diagnose and compare the fetal distress. Results The incidence of fetal distress in pregnant women with responder of the umbilical blood flow S/D ratio and S/D < 3 was 2.94%(2/68), while which in pregnant women with non-responder and S/D < 3 was 50.00%(1/2), the differences was statically significant(P < 0.01). The differences of the incidence of fetal distress compared pregnant women of non-responder and S/D < 3 [50.00%(1/2)] and in pregnant women of responder and S/D ≥ 3[25.00%(1/4)], with pregnant women of non-responder and S/D ≥ 3 [100.00%(6/6)] was statically significant(P < 0.01). Conclusion Fetal heart monitoring and umbilical blood flow S/D ratio prediction could obviously elevate the diagnosis correct rate of fetal distress, has the improvement effect for fetal prognosis, and coud reduce the mortality of perinatal infant.