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分娩期间给母亲吸氧对经皮测量的胎儿二氧化碳分压的影响。

The influence of oxygen administration to the mother during labor on the fetal transcutaneously measured carbon-dioxide partial pressure.

作者信息

Bartnicki J, Langner K, Harnack H, Meyenburg M

机构信息

Institute of Perinatal Medicine, Free University of Berlin, Germany.

出版信息

J Perinat Med. 1990;18(5):397-402. doi: 10.1515/jpme.1990.18.5.397.

Abstract

The aim of this study was to plot the course of the transcutaneously measured PCO2 (tcPCO2) in the fetus during oxygenation of the mother. In our examination 35 parturients with a suspicious or pathologic CTG were given pure oxygen for 10 minutes at a flow speed of 10 l/min. The fetal tcPCO2 was measured with a TCM 3 measuring device from Radiometer. The measuring temperature was 41 degrees C. The fetal tcPCO2 was 67.2 +/- 3.9 mmHg before the O2 application, during the O2 application it was 67.3 +/- 14.1 mmHg and for the period after the O2 application we found an average measurement of 66.7 +/- 13.9 mmHg. Further we investigated whether, depending on the original levels of the fetal tcPCO2 an O2 application to the mother had a measurable effect on the fetal tcPCO2 levels. The average levels of the tcPCO2 in the fetuses with pathological original levels of greater than or equal to 60 mmHg or with normal levels of less than 60 mmHg did not show any significant differences before, during or after the O2 application. Our own results and reports given in the literature about an increase in the fetal O2 partial pressure during maternal oxygenation lead to the conclusion that in cases with fetal hypoxia, the O2 application to the mother--in addition to other measures for intrauterine reanimation or speedy termination of labor--could be of advantage.

摘要

本研究的目的是描绘母亲吸氧期间经皮测量的胎儿二氧化碳分压(tcPCO2)的变化过程。在我们的检查中,35名伴有可疑或病理性产时胎心监护(CTG)的产妇以10升/分钟的流速吸入纯氧10分钟。使用Radiometer公司的TCM 3测量设备测量胎儿的tcPCO2。测量温度为41摄氏度。吸氧前胎儿的tcPCO2为67.2±3.9 mmHg,吸氧期间为67.3±14.1 mmHg,吸氧后期间的平均测量值为66.7±13.9 mmHg。此外,我们研究了根据胎儿tcPCO2的原始水平,母亲吸氧是否会对胎儿tcPCO2水平产生可测量的影响。原始水平病理性高于或等于60 mmHg或正常水平低于60 mmHg的胎儿,其tcPCO2的平均水平在吸氧前、吸氧期间或吸氧后均未显示出任何显著差异。我们自己的研究结果以及文献中关于母亲吸氧期间胎儿氧分压升高的报道得出结论,在胎儿缺氧的情况下,除了其他用于宫内复苏或迅速终止妊娠的措施外,母亲吸氧可能是有益的。

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