妊娠合并胎儿生长受限患者中胎儿大脑中动脉、脐动脉及子宫动脉彩色多普勒超声与血气分析的比较
Comparison of fetal middle cerebral arteries, umbilical and uterin artery color Doppler ultrasound with blood gas analysis in pregnancy complicated by IUGR.
作者信息
Fardiazar Zahra, Atashkhouei Simin, Yosefzad Yousef, Goldust Mohamad, Torab Reza
机构信息
Department of Obstetrics and Gynecology, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Iran J Reprod Med. 2013 Jan;11(1):47-51.
BACKGROUND
Fetal color Doppler is important for evaluation of hypoxia in intrauterine growth restriction (IUGR) fetus.
OBJECTIVE
In this study we compare fetal and maternal color Doppler with blood gas analysis to detect fetal acidosis.
MATERIALS AND METHODS
In this cross-sectional study we evaluated 100 hospitalized patients with IUGR for comparison of color Doppler results with arterial blood gas analysis. RESULTS of Doppler sonography of fetus middle cerebral arteries, umbilical and uterine artery and umbilical artery ABG were studied in these neonates.
RESULTS
Mean maternal age was 28±7 years, mean gestational age was 31.79±2.59 weeks and mean growth restriction was 3±2 weeks. Resistance increasing was observed in right uterine arteries of 37 mothers. It was normal in 60 mothers. Resistance increasing was observed in left uterine arteries of 36 mothers and nuch was seen in four cases. PCO2, PO2, and pH mean were 48.41±9.50 mmHg, 26.00±12.34 mmHg, and 7.28±0.10 in the neonates respectively.
CONCLUSION
In this study abnormal color Doppler in IUGR fetuses have no significant correlation with umbilical cord blood gas.
背景
胎儿彩色多普勒对于评估宫内生长受限（IUGR）胎儿的缺氧情况很重要。
目的
在本研究中，我们将胎儿和母体彩色多普勒与血气分析进行比较，以检测胎儿酸中毒。
材料与方法
在这项横断面研究中，我们评估了100例住院的IUGR患者，以比较彩色多普勒结果与动脉血气分析。研究了这些新生儿胎儿大脑中动脉、脐动脉和子宫动脉的多普勒超声检查结果以及脐动脉血气分析结果。
结果
母亲平均年龄为28±7岁，平均孕周为31.79±2.59周，平均生长受限为3±2周。在37名母亲的右子宫动脉中观察到阻力增加。60名母亲的情况正常。在36名母亲的左子宫动脉中观察到阻力增加，4例出现扭结。新生儿的PCO2、PO2和pH平均值分别为48.41±9.50 mmHg、26.00±12.34 mmHg和7.28±0.10。
结论
在本研究中，IUGR胎儿的彩色多普勒异常与脐血血气无显著相关性。
Zotero 插件