Department of Obstetrics & Gynecology, Maternal Fetal Medicine Division, Oregon Health & Science University, Portland, OR, USA.
Reprod Sci. 2013 Jan;20(1):33-8. doi: 10.1177/1933719112459224. Epub 2012 Sep 18.
We tested the hypothesis that fetal pulmonary arterial circulation reacts to changes in fetal oxygenation status at near-term gestation.
A total of 20 rhesus macaques underwent fetal Doppler ultrasonography at near-term gestation. Right pulmonary artery (RPA), umbilical artery (UA), ductus arteriosus (DA), and ductus venosus (DV) blood velocity waveforms were obtained, and pulsatility index (PI) values were calculated. Fetal right and left ventricular cardiac outputs were determined. Ultrasonographic data were collected during 3 maternal oxygenation states: room air (baseline), hyperoxemia, and hypoxemia.
Fetal RPA PI values increased (P < .05) during maternal hypoxemia and decreased (P < .05) during maternal hyperoxemia, compared with baseline. Maternal hyperoxemia increased (P < .05) DA PI values from baseline. Fetal cardiac outputs, UA, and DV PI values were not affected.
Our results demonstrate that at near-term gestation, fetal pulmonary arterial circulation is a dynamic vascular bed that reflects acute and short-term changes in fetal oxygenation.
我们检验了这样一个假设,即在接近足月妊娠时,胎儿肺循环对胎儿氧合状态的变化会产生反应。
总共 20 只恒河猴在接近足月妊娠时接受胎儿多普勒超声检查。获取右肺动脉(RPA)、脐动脉(UA)、动脉导管(DA)和静脉导管(DV)的血流速度波形,并计算搏动指数(PI)值。确定胎儿左右心室的心输出量。超声数据在 3 种母体氧合状态下收集:空气(基线)、高氧血症和低氧血症。
与基线相比,胎儿 RPA 的 PI 值在母体低氧血症时增加(P <.05),在母体高氧血症时降低(P <.05)。母体高氧血症使 DA 的 PI 值从基线升高(P <.05)。胎儿心输出量、UA 和 DV 的 PI 值不受影响。
我们的结果表明,在接近足月妊娠时,胎儿肺循环是一个动态的血管床,它反映了胎儿氧合的急性和短期变化。