临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
11期
1403-1404
,共2页
胎儿窘迫%心功能%Tei指数%DTI
胎兒窘迫%心功能%Tei指數%DTI
태인군박%심공능%Tei지수%DTI
Fetal distress%Cardiac function%Tei index%DTI
目的 应用超声心动图观察胎儿窘迫心脏功能改变, 尽早发现心功能异常, 指导临床对胎儿窘迫心功能异常采取必要的治疗措施, 评估疗效以及新生儿评估和治疗. 方法 应用超声观察20例胎儿窘迫胎儿和30例正常胎儿心脏功能, 测量并比较各组间心脏收缩功能、 舒张功能及心脏整体功能各项指标. 检查中依次获得心尖、 心底四腔心、 左室流出道、 右室流出道、 三血管等各切面; 获得各瓣口血流频谱, 用脉冲或M型彩色DTI测定左室壁运动速度, 用脉冲DTI测定二尖瓣、 三尖瓣运动速度. 结果 各项测量指标胎儿窘迫组胎儿与正常组胎儿比较均有统计学差异 (P<0.05). 结论 超声对胎儿心脏功能各项指标的测量易于操作, 重复性好, 可以用以综合评价胎儿心脏功能, 对于早期发现胎儿窘迫及评估其治疗效果有较大的临床价值.
目的 應用超聲心動圖觀察胎兒窘迫心髒功能改變, 儘早髮現心功能異常, 指導臨床對胎兒窘迫心功能異常採取必要的治療措施, 評估療效以及新生兒評估和治療. 方法 應用超聲觀察20例胎兒窘迫胎兒和30例正常胎兒心髒功能, 測量併比較各組間心髒收縮功能、 舒張功能及心髒整體功能各項指標. 檢查中依次穫得心尖、 心底四腔心、 左室流齣道、 右室流齣道、 三血管等各切麵; 穫得各瓣口血流頻譜, 用脈遲或M型綵色DTI測定左室壁運動速度, 用脈遲DTI測定二尖瓣、 三尖瓣運動速度. 結果 各項測量指標胎兒窘迫組胎兒與正常組胎兒比較均有統計學差異 (P<0.05). 結論 超聲對胎兒心髒功能各項指標的測量易于操作, 重複性好, 可以用以綜閤評價胎兒心髒功能, 對于早期髮現胎兒窘迫及評估其治療效果有較大的臨床價值.
목적 응용초성심동도관찰태인군박심장공능개변, 진조발현심공능이상, 지도림상대태인군박심공능이상채취필요적치료조시, 평고료효이급신생인평고화치료. 방법 응용초성관찰20례태인군박태인화30례정상태인심장공능, 측량병비교각조간심장수축공능、 서장공능급심장정체공능각항지표. 검사중의차획득심첨、 심저사강심、 좌실류출도、 우실류출도、 삼혈관등각절면; 획득각판구혈류빈보, 용맥충혹M형채색DTI측정좌실벽운동속도, 용맥충DTI측정이첨판、 삼첨판운동속도. 결과 각항측량지표태인군박조태인여정상조태인비교균유통계학차이 (P<0.05). 결론 초성대태인심장공능각항지표적측량역우조작, 중복성호, 가이용이종합평개태인심장공능, 대우조기발현태인군박급평고기치료효과유교대적림상개치.
Objective To observe the cardiac function change of fetal distress by using echocardiography, so as to get the early detection of abnormal heart function and clinical guide on abnormal cardiac function of fetal distress, and to take necessary measures and assess the efficacy of treatment, as well as assessment, treatment after fetal birth. Methods Ultrasound was used to observe the cardiac functions of 20 cases of fetal distress and 30 cases of normal fetus, and the indicators of cardiac systolic function, cardiac diastolic function and overall heart function were measured and compared. The sections of cardiac apex, four-chamber of basis cordis, left ventricular outflow tract, right ventricular outflow tract and three vessels were obtained sequentially. The flow spectrums of heart valves were obtained. The motion speed of left ventricular wall was detected by pulse or M-type color DTI, and the motion speeds of mitral valve and tricuspid valve were detected by pulse DTI. Results All the indicators had statistical difference between fetal distress fetus and normal fetus (P<0.05). Conclusions Ultrasound has the advantages of simple operation and good repeatability in the detection of fetal cardiac function indicators, which can be used for comprehensive evaluation of fetal cardiac function, and has high clinical value in early diagnosis of fetal distress and evaluation of therapeutic effect.
