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Predictive Value of Fetal Distress by combined Detection of Hemodynamic Parameters of three arteries before and after Fetal Neck Bypass |
WU Qiao, TIAN Rui, SI Lihua |
Hainan Obstetrics and Gynecology Hospital, Hainan Haikou 570105, China |
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Abstract Objective: To analyze the hemodynamic parameters of the main artery before fetal labor around the umbilical cord, predict the clinical value of fetal distress, and provide the basis for the diagnosis of the appropriate timing and mode of delivery. Methods: The clinical data of maternal fetal distress of 206 patients were collected and retrospective studied. According to the specific situation, all the patients were divided into normal group (159 cases) and hypoxia group (47 cases). The fetal birth renal artery (RA), middle cerebral artery (MCA) and umbilical artery (UA) differences in hemodynamic parameters of the two groups were contrasted, and the incidence of fetal distress and the blood flow dynamics parameters of regression equation were fitted. Results: The difference of S/DRA, PIRA and RIRA between the two groups was statistically significant (P<0.05); the middle cerebral artery S/DMCA, PIMCA(P<0.05). There were statistically significant differences in the levels of S/DUA and PIUA in umbilical artery(P<0.05). Multivariate analysis of nine arterial hemodynamics parameters affecting the incidence of fetal distress in the umbilical cord entered the regression equation. The influence size (Exp) was S/DMCA(9.30)、S/DRA(6.49)、PIUA(4.95)、PIMCA(4.76)、S/DUA(3.90)、PIRA(3.46)、RIRA(2.94 )、RIUA(2.27)、S/DMCA(1.55). Conclusions: There are significant differences in RA, MCA and UA blood flow parameters of umbilical cord around rabbits with different distress, and the use of color Doppler to monitor the specific parameters of RA, MCA and UA, and the establishment of multivariate regression model is important for predicting the occurrence of fetal distress Value.
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[1] 胡勇,唐军,夏斌,等.1146例极低/超低出生体重儿临床资料分析[J].中华妇幼临床医学杂志(电子版),2017,13(2):149~155. [2] 高新星,樊菲菲,莫非,等.骨髓间充质干细胞移植对大鼠急性肺损伤的保护机制研究[J].临床急诊杂志,2017,18(3):190~193. [3] 李燕梅,李敏文,蒋艳艳,等.彩超对妊娠晚期脐带绕颈的诊断价值[J].实用临床医学,2017,18(1):76~77,80. [4] 刘昆.彩超监测胎儿肾动脉血流预测胎儿宫内窘迫临床分析[J].河南医学研究,2016,25(12):2261~2262. [5] 彭娟.彩色多普勒超声监测胎儿RA血流指标对胎儿宫内窘迫的临床诊断作用分析[J].现代诊断与治疗,2016,27(19):3626~3627. [6] 叶绮婷,高智斌,张彩华,等.B超诊断羊水偏少孕妇126例阴道试产的临床研究[J].中国医学工程,2016,24(8):92~94. [7] 谭久娣.孕晚期胎儿大脑中动脉与静脉导管多普勒超声检测宫内窘迫的效果观察[J].泰山医学院学报,2016,37(4):431~432. [8] 封成芳,陈宏琼,许全珍,等.重度急性呼吸窘迫综合征新生儿的临床诊疗与生存状况研究[J].中国妇幼保健,2016,31(1):97~99. [9] 刘美冰.大脑中、脐动脉及静脉导管彩超检查在胎儿窘迫诊断中的应用价值分析[J].现代诊断与治疗,2015,26(20):4660~4661. [10] Wang L, Kuromaki K, Kawabe A,et al. Nuchal cord complication in male small for gestational age increases fetal distress risk during labor[J].Taiwan Obstet Gynecol,2016 ,55(4):568~574. [11] 李小艳,马静.彩超监测胎儿肾动脉血流对胎儿宫内窘迫的预测价值[J].中国妇幼保健,2015,30(8):1265~1266. [12] 胡芯端,胡密淑,王银雪.超声检测对宫内窘迫的诊断价值及脐血血流指数分析的意义[J].中国妇幼保健,2014,29(32):5344~5346. [13] 王红军,于洪涛,贾金广,等.52例中度急性呼吸窘迫综合征患者临床分析[J].中国现代医学杂志,2014,24(27):63~68. [14] 宁春芳,何雪威,张春花,等.胎儿脐血血流阻力指标与重度子痫前期胎儿窘迫的相关性研究[J].中国医刊,2014,49(6):69~71. [15] 詹燕.彩色多普勒血流显像诊断胎儿脐带绕颈的临床价值[J].临床合理用药杂志,2014,7(4):84~85. |
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