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中文摘要: 目的 分析超声生物物理评分及胎儿脐动脉血收缩期与舒张期流速比（S/D）检测在胎儿宫内窘迫诊断中的应用，为临床诊断提供指导。方法 2015年1月—2018年12月期间，将我院收治的70例孕妇作为研究对象。采用胎儿电子监护仪、多普勒超声诊断仪测定胎儿生物物理评分（BPS）及脐动脉血S/D。观察孕妇BPS评分和S/D比值分别与新生儿Apgar≤7与羊水污染的关系及BPS评分与S/D值的关系。结果 在BPS＞6组中，羊水污染Ⅱ度（3.17%）、Ⅲ度（3.17%）和新生儿Apgar≤7（1.59%）明显低于BPS≤6组的（28.57%）、（42.86%）和（14.29%），而总不良率（6.35%）显著低于BPS≤6组的（85.71%），两组比较具有统计学意义（P<0.05）。在S/D＜3组中，羊水污染Ⅱ度（3.13%）、Ⅲ度（4.69%）和新生儿Apgar≤7（3.13%）明显低于S/D≥3组的（33.33%）、（16.67%）和（16.67%），而总不良率（10.93%）显著低于S/D≥3组的（66.67%），两组比较具有统计学意义（P<0.05）。在BPS＞6组中，S/D＜3占比（85.71%）明显高于BPS≤6组中的（14.29%），而S/D≥3占比（3.17%）明显低于BPS≤6组中的（42.86%），两组比较具有统计学意义（P<0.05）。结论 胎儿BPS评分和脐动脉血S/D对孕妇胎儿宫内窘迫的诊断具有重要的临床意义，可明显降低胎儿死亡率，在临床中值得推广应用。
Abstract:OBJECTIVE To study application value in intrauterine fetal distress by ultrasound biophysical score and fetal umbilical artery blood S/D detection, so as to provide guidance for clinical diagnosis. METHODS 70 cases pregnant women were served as objects of study from January 2015 to December 2018. Fetal biophysical score (BPS) and umbilical artery blood S/D were measured by fetal electronic monitor and Doppler ultrasound diagnostic instrument. The relationship between BPS score and S/D ratio and neonatal Apgar<7 and amniotic fluid pollution, and the relationship between BPS score and S/D value were observed, respectively. RESULTS Amniotic fluid pollution degree II (3.17%) degree Ⅲ (3.17%) and Apgar≤7 (1.59%) in BPS>6 groups were statistically lower than (28.57%) (42.86%) and (14.29%) in BPS≤6 groups, while total adverse rate (6.35%) was statistically lower than (85.71%) in BPS≤6 groups, the difference was statistically significant (P＜0.05). Amniotic fluid pollution degree II (3.13%) degree Ⅲ (4.69%) and Apgar≤7 (3.13%) in S/D＜3 groups were statistically lower than (33.33%) (16.67%) and (16.67%) in S/D≥3 groups, while total adverse rate (10.93%) was statistically lower than (66.67%) in S/D≥3 groups, the difference was statistically significant (P＜0.05). S/D＜3 (85.71%) in BPS>6 groups were statistically rather than 14.29% in BPS≤6 groups, while S/D≥3 (3.17%) was statistically lower than (42.86%) in BPS≤6 groups, the difference was statistically significant (P＜0.05). CONCLUSION Fetal BPS score and umbilical artery blood S/D had important clinical significance in the diagnosis of fetal distress in pregnant women, and could significantly reduce fetal mortality, which was worthy of promotion and application in clinical practice.
keywords: BPS S/D intrauterine fetal distress fetal monitoring amniotic fluid contamination diagnostic value
文章编号：3201911018 中图分类号：R1-9 文献标志码：
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