中华实用儿科临床杂志
中華實用兒科臨床雜誌
중화실용인과림상잡지
Journal of Applied Clinical Pediatrics
2015年
14期
1050-1052
,共3页
孕晚期%胎动减少%新生儿%缺氧缺血性脑损伤
孕晚期%胎動減少%新生兒%缺氧缺血性腦損傷
잉만기%태동감소%신생인%결양결혈성뇌손상
Third trimester%Decreased fetal movement%Neonate%Hypoxic - ischemic brain damage
胎动是胎儿宫内状况良好的标志之一，孕晚期胎动减少（DFM）提示可能存在胎儿宫内窘迫的可能性，但目前缺乏孕晚期 DFM 与新生儿缺氧缺血性脑损伤（ HIBD）发病率关联性的临床研究报道。孕晚期DFM 与产妇、胎儿、脐带血流等生理和病理因素相关，发生孕晚期 DFM 的新生儿发生临床不良结局的可能性大大增加。因此，产科医师和新生儿科医师均应加强对发生孕晚期 DFM 的孕妇及其所分娩新生儿的医学监控，及时采取医学干预措施，减少 HIBD 的发生。
胎動是胎兒宮內狀況良好的標誌之一，孕晚期胎動減少（DFM）提示可能存在胎兒宮內窘迫的可能性，但目前缺乏孕晚期 DFM 與新生兒缺氧缺血性腦損傷（ HIBD）髮病率關聯性的臨床研究報道。孕晚期DFM 與產婦、胎兒、臍帶血流等生理和病理因素相關，髮生孕晚期 DFM 的新生兒髮生臨床不良結跼的可能性大大增加。因此，產科醫師和新生兒科醫師均應加彊對髮生孕晚期 DFM 的孕婦及其所分娩新生兒的醫學鑑控，及時採取醫學榦預措施，減少 HIBD 的髮生。
태동시태인궁내상황량호적표지지일，잉만기태동감소（DFM）제시가능존재태인궁내군박적가능성，단목전결핍잉만기 DFM 여신생인결양결혈성뇌손상（ HIBD）발병솔관련성적림상연구보도。잉만기DFM 여산부、태인、제대혈류등생리화병리인소상관，발생잉만기 DFM 적신생인발생림상불량결국적가능성대대증가。인차，산과의사화신생인과의사균응가강대발생잉만기 DFM 적잉부급기소분면신생인적의학감공，급시채취의학간예조시，감소 HIBD 적발생。
Fetal movement is one of the markers of fetal wellbeing. Decreased fetal movement(DFM)in the third trimester indicates an increased possibility of intrauterine asphyxia/ anoxia. There is a lack of reported data for the correlation of DFM and incidence of neonatal hypoxic - ischemic brain damage(HIBD). DFM is a multi - factorial clinical phenomenon which may be caused by various issues of pregnant women,fetus,and cord. Incidence of negative neonatal outcomes greatly increased in the condition of DFM. Obstetricians and neonatologists should keep close monito-ring to pregnant women with DFM in the third trimester and their newborn infants. Appropriate medical intervention is highly recommended in order to minimize the occurrence of HIBD.
