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高压氧治疗胎儿宫内生长迟缓58例临床效果观察
Clinical analysis of treatment of 58 cases intrauterine growth retardation by hyperbaric oxygenation
【摘要】 目的 :观察高压氧治疗胎儿宫内生长迟缓 (IUGR)的临床效果。方法 :对 5 8例IUGR孕妇采用高压氧治疗 ,观察治疗前后胎儿大脑中动脉 (MCA)、脐动脉 (UA)血流速率RImcA和RIuA的变化 ,并设氨基酸组对照 ;在新生儿出生后对其体格发育、智能发育作为期一年的随访。结果 :经高压氧治疗后胎儿RImcA明显上升 ,RIuA明显下降 ,接近于正常 ,较对照组有显著差异 ;随访—年新生儿的体格、智能发育指标 ,与正常新生儿无差异。结论 :高压氧治疗能有效地改善IUGR胎儿异常的脑及脐动脉血流速率 ,纠正胎儿宫内缺氧 ,减少低体重、低智能儿的发生
【Abstract】 Objective:To observe the clinical effect of treatment of hyperbaric oxygenation for intrauterine growth retardation(IUGR).Methods:58 cases with intrauterine growth retardation were treated by hyperbaric oxygenation ,to observe the changes of RImcA,RIuA of blood stream in middle cerebral artery.umbilical artery,control group with amino acid was set up;one year follow up had be done for surveying physical development,intelligence after birth.Results:The RImcA of hyperbaric oxygenation group higher control group obviously,near the healthy;but the RIuA was decreased than control group,it is significant.The babies of hyprbaric oxygenation group had good physical,intelligence development,no differentiation with normal baby.Conclusion:The blood stream of cerebral,umbilical arteries was improved by hyperbaric oxygenation,intrauterine anoxia was corrected,so,imbecile,low birth weight was decreased.
【Key words】 Intrauterin growth retardation; Hyperbaric oxygenation; Middle cerebral artery; Umbilical artery; Newborn;
- 【文献出处】 河北医学 ,Hebei Medicine , 编辑部邮箱 ,2003年02期
- 【分类号】R459.6;R714.5
- 【下载频次】33