| 仲丽美,贾红娥,薛红红,姜 珏,淡 敏.胎儿心脏超声对足月胎儿出生后血液动力学变化的影响[J].,2021,(10):1978-1981 |
| 胎儿心脏超声对足月胎儿出生后血液动力学变化的影响 |
| The Effects of Fetal Cardiac Ultrasound on Hemodynamic Changes of Full-term Fetus after Birth |
| 投稿时间：2020-11-04 修订日期：2020-11-27 |
| DOI：10.13241/j.cnki.pmb.2021.10.038 |
| 中文关键词: 足月胎儿 心脏超声 血液动力学 高危分娩 相关性 |
| 英文关键词: Full-term fetus Echocardiography Hemodynamics High-risk delivery Correlation |
| 基金项目:陕西省社会发展基金项目（2019SF072） |
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| 中文摘要: |
| 摘要 目的：探讨胎儿心脏超声对足月胎儿出生后血液动力学变化的影响。方法：2018年7月1日到2020年6月30日选择在本院分娩的足月胎儿22750例，其中高危分娩组872例，正常分娩组21878例。所有胎儿都给予心脏超声，记录血液动力学变化情况并进行相关性分析。结果：所有胎儿的超声图像评分≥2分，平均2.87±0.14分，符合诊断要求。高危分娩组的主动脉与肺动脉FHR值高于正常分娩组(P<0.05)，PTV值低于正常分娩组(P<0.05)。高危分娩组的脐动脉RI与PI值高于正常分娩组(P<0.05)，而大脑中动脉RI与PI值低于正常分娩组(P<0.05)。在高危分娩组中，随访确诊先心病45例，发生率为5.2 %；正常分娩组随访确诊32例，发生率为0.1 %，对比差异有统计学意义(P<0.05)。在足月胎儿22750例中，Pearson相关分析显示先心病与脐动脉RI、PI值、主动脉和肺动脉FHR值、PTV值都存在相关性(P<0.05)。结论：胎儿心脏超声可反映足月胎儿出生后血液动力学变化情况，可指导临床医师及时对高危分娩作出适当处理。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effects of fetal cardiac ultrasound on the hemodynamic changes of full-term fetuses after birth. Methods: A total of 22,750 full-term fetuses,who were delivered in Northwest Women and Children's Hospital from July 1, 2018 to June 30, 2020, were selected and were divided into high-risk delivery group (n=872) and normal delivery group (n=21,878). All the fetuses were examined by cardiac ultrasound, and their hemodynamic changes were recorded and analysed. Results: The ultrasound image scores of all fetuses were ≥2 points, with the average of 2.87±0.14 points ,which accorded with the diagnostic requirements. The FHR values of the aorta and pulmonary artery in th group(P<0.05), and the PTV values were lower than those in the normal delivery group (P<0.05). The RI and PI values of the umbilical artery in the high-risk delivery group were higher than those in the normal delivery group (P<0.05), while the middle cerebral artery RI and PI values were lower than the normal delivery group(P<0.05). High-risk delivery group were higher than those in the normal delivery In the high-risk delivery group, there were 45 cases of congenital heart disease diagnosed by followed-up, the incidence rates were 5.2 %; and in the normal delivery group, there were 32 cases of congenital heart disease diagnosed by followed-up, the incidence rates were 0.1 %, with statistically significant differences(P<0.05). In the 22,750 full-term fetuses, Pearson correlation analysis showed that congenital heart disease was correlated with umbilical artery RI, PI, aortic and pulmonary artery FHR, and PTV values(P<0.05). Conclusion: Fetal echocardiography can reflect the hemodynamic changes of full-term fetuses after birth, and can coach clinicians in dealing promptly with high-risk delivery. |
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