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足月妊娠胎心监护结合激活素A对胎儿窘迫的预测价值
The Predictive Value of Fetal Heart Rate Monitoring and Active A for Fetal Distress in Term Pregnancy
【摘要】 目的:通过胎心监护结合孕妇血血清激活素A水平对足月妊娠胎儿窘迫进行预测,以寻求更为准确可靠的诊断方法。方法:将研究对象分成联合组(NST无反应型且母血血清激活素A>25 ng/mL)70例,NST组(NST无反应型)270例,激活素A组(激活素A>25 ng/mL)210例,比较三组间胎儿窘迫率、羊水污染率和新生儿窒息率。结果:联合组的胎儿窘迫率、羊水污染率、新生儿窒息率均明显高于NST组及激活素A组。结论:胎心监护结合激活素A可提高胎儿窘迫诊断率,为及时采取适当的干预措施提供依据,改善胎儿预后。
【Abstract】 Objective:To explore the more accurately and reliably diagnostic methods for fetal distress in term pregnancy by fetal heart rate monitoring and active A(ACTA) in serum of gravida.Methods;The subjects were divided for testing into three groups;the combining group was adiaphoria fetal heart rate monitoring and ACTA>25ng/ mL,the NST group was single group of adiaphoria fetal heart rate monitoring,the ACTA group was the levels of ACTA > 25 ng/mL.The rates of fetal distress,meconium staining and neonatal asphyxia were compared among the three groups.Results:The rates of fetal distress,meconium staining and neonatal asphyxia in the combining group were significantly higher than those in ACTA group and NST group.Conclusion:It may improve the rate of diagnose of fetal distress to monitor of non-stress test and the level of ACTA so that proper interventions may be taken to improve fetal prognosis.
- 【文献出处】 岭南急诊医学杂志 ,Lingnan Journal of Emergency Medicine , 编辑部邮箱 ,2012年02期
- 【分类号】R714.5
- 【被引频次】2
- 【下载频次】14