脐绕颈胎儿临产前三条动脉血流动力学参数的联合检测对胎儿窘迫发生的预测价值

doi:10.3969/j.issn.1006-6233.2017.07.022

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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.

Key words： Umbilical cord around the neck Arterial hemodynamic parameters Fetal distress Regression analysis

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	Articles by authors
	WU Qiao
	TIAN Rui
	SI Lihua

Cite this article:

WU Qiao,TIAN Rui,SI Lihua. Predictive Value of Fetal Distress by combined Detection of Hemodynamic Parameters of three arteries before and after Fetal Neck Bypass[J]. HeBei Med, 2017, 23(7): 1128-1131.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2017.07.022 OR http://www.hbyxzzs.cn/EN/Y2017/V23/I7/1128

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