中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
27期
24-26
,共3页
胎儿生长受限%脐血流%红细胞压积%妊娠结局
胎兒生長受限%臍血流%紅細胞壓積%妊娠結跼
태인생장수한%제혈류%홍세포압적%임신결국
Fetal growth restriction%Umbilical blood flow%Maternal hematokrit%Maternal and fetal outcome
目的：探讨胎儿生长受限和脐血流及红细胞压积的关系。方法：选取本院2013年4月-2014年12月接诊的64例胎儿生长受限的孕妇，记为观察组，72例胎儿发育正常的孕妇，记为对照组。检测并比较两组脐血流比值及孕妇红细胞压积，记录胎儿的妊娠结局。结果：观察组脐血流异常率及各孕期脐血流比值平均值高于对照组，差异具有统计学意义（P<0.05）；观察组孕妇红细胞压积异常率明显高于对照组，差异具有统计学意义（P<0.05）；观察组妊娠期高血压疾病、妊娠期糖尿病等妊娠合并症的患病率明显高于对照组，差异具有统计学意义（P<0.05）；观察组妊娠不良结局的发生率高于对照组，差异具有统计学意义（P<0.05）。结论：胎儿生长受限与脐血流及红细胞压积关系密切，脐血管阻力增加、孕妇血液浓缩会加剧胎儿生长受限，引起不良的妊娠结局。
目的：探討胎兒生長受限和臍血流及紅細胞壓積的關繫。方法：選取本院2013年4月-2014年12月接診的64例胎兒生長受限的孕婦，記為觀察組，72例胎兒髮育正常的孕婦，記為對照組。檢測併比較兩組臍血流比值及孕婦紅細胞壓積，記錄胎兒的妊娠結跼。結果：觀察組臍血流異常率及各孕期臍血流比值平均值高于對照組，差異具有統計學意義（P<0.05）；觀察組孕婦紅細胞壓積異常率明顯高于對照組，差異具有統計學意義（P<0.05）；觀察組妊娠期高血壓疾病、妊娠期糖尿病等妊娠閤併癥的患病率明顯高于對照組，差異具有統計學意義（P<0.05）；觀察組妊娠不良結跼的髮生率高于對照組，差異具有統計學意義（P<0.05）。結論：胎兒生長受限與臍血流及紅細胞壓積關繫密切，臍血管阻力增加、孕婦血液濃縮會加劇胎兒生長受限，引起不良的妊娠結跼。
목적：탐토태인생장수한화제혈류급홍세포압적적관계。방법：선취본원2013년4월-2014년12월접진적64례태인생장수한적잉부，기위관찰조，72례태인발육정상적잉부，기위대조조。검측병비교량조제혈류비치급잉부홍세포압적，기록태인적임신결국。결과：관찰조제혈류이상솔급각잉기제혈류비치평균치고우대조조，차이구유통계학의의（P<0.05）；관찰조잉부홍세포압적이상솔명현고우대조조，차이구유통계학의의（P<0.05）；관찰조임신기고혈압질병、임신기당뇨병등임신합병증적환병솔명현고우대조조，차이구유통계학의의（P<0.05）；관찰조임신불량결국적발생솔고우대조조，차이구유통계학의의（P<0.05）。결론：태인생장수한여제혈류급홍세포압적관계밀절，제혈관조력증가、잉부혈액농축회가극태인생장수한，인기불량적임신결국。
Objective:To study the relationship between fetal growth restriction and umbilical blood flow and matelnal hematokrit.Method:64 pregnant women with fetal growth restriction in our hospital from April 2013 to December 2014 were selected as observation group,72 normal pregnant women were selected at the same period as control group. Umbilical blood flow ratio and matelnal hematokrit of the two groups were detected and compared.Maternal and fetal outcome were compared between two groups.Result:The abnormal rate and mean value of umbilical blood flow ratio in the observation group were significantly higher than those in the control group(P<0.05).Matelnal hematokrit of the observation group was significantly higher than that of the control group(P<0.05).Incidence of complications with pregnancy in the observation group were significantly higher than the control group(P<0.05).Incidence of adverse maternal and fetal outcome in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Fetal growth restriction has a close relationship with umbilical blood flow ratio and matelnal hematokrit,umbilical artery blood flow resistance and blood concentration can deteriorate fetal growth restriction,which will affect maternal and fetal outcome.
