标题：胎心监护联合脐动脉、大脑中动脉及静脉导管分流率预测胎儿宫内窘迫的价值

      作者：王秀玲，贯国京，宋学婷，牛琪，付艳岭，杨连杰，丁洁
    (玉田县医院妇产科，河北 玉田 064100)

      卷次： 2016年27卷18期

      【摘要】 目的 探讨胎心监护联合彩色多普勒超声检测脐动脉、大脑中动脉和静脉导管分流率对胎儿宫内窘
迫的预测价值。方法 选取在我院产科2013年1月至2015年3月接受治疗的胎儿宫内窘迫孕妇80例为观察组，选
择同期正常体检孕妇80例为对照组，所有胎儿均行胎心监护，彩色多普勒超声检测胎儿脐动脉(UA)和大脑中动脉
(MCA)的阻力指数(RI)、搏动指数(PI)、S/D值，并计算静脉导管分流率(VCSR)。结果 观察组胎心监护的敏感性为
63.75% (51/80)、特异性为 78.75% (63/80)和阳性率为 68.75% (55/80)，均低于胎心监护联合检测的 92.50% (74/80)、
96.25% (77/80)和 93.75% (75/80)，且差异均有统计学意义(P<0.05)；观察组和对照组胎儿UA的RI [(0.91±0.13) vs
(0.76±0.08)]、PI [(2.23±0.27) vs (1.74±0.31)]和 S/D值[(6.85±1.52) vs (5.04±1.21)]比较，观察组均显著高于对照组，
差异均有显著统计学意义(P<0.01)；观察组和对照组胎儿MCA的RI [(0.63±0.09) vs (0.78±0.11)]、PI [(1.13±0.23)
vs (1.57±0.28)]以及 S/D值[(3.12±0.54) vs (4.35±1.01)]比较，观察组均显著低于对照组，差异均有显著统计学意
义(P<0.01)；观察组VCSR为(61.28±5.86)%，显著高于对照组的(39.21±7.13)%，差异有显著统计学意义(P<0.01)。
结论 胎心监护联合脐动脉、大脑中动脉和静脉导管分流率检测对胎儿宫内窘迫具有较好的预测价值。

      【关键词】 胎儿宫内窘迫；脐动脉；大脑中动脉；静脉导管分流率；胎心监护

      【中图分类号】 R714.43 【文献标识码】 A 【文章编号】 1003—6350（2016）18—3010—03


Value of fetal heart monitoring combined with umbilical artery, middle cerebral artery and venous catheter
shunt rate for predicting fetal distress.
WANG Xiu-ling, GUAN Guo-jing, SONG Xue-ting, NIU Qi, FU Yan-ling,
YANG Lian-jie, DING Jie. Department of Obstetrics and Gynecology, Yutian County Hospital, Yutian 064100, Hebei, CHINA

【Abstract】 Objective To investigate the value of fetal heart monitoring combined with color Doppler ultraso-
nography for detecting shunt rate of umbilical artery, middle cerebral artery and venous catheter in predicting fetal dis-
tress. Methods Eighty cases of pregnant women with intrauterine fetal distress in Department of Obstetrics and Gyne-
cology in our hospital from January 2013 to March 2015 were selected as the observation group, and 80 cases of normal
pregnant women were selected as control group at the same period. All fetuses underwent fetal heart monitoring. The fe-
·论 著·
6350.2016.18.030