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[子宫收缩和β-兴奋剂对胎盘及胎儿脑血流的影响与胎儿心率变化的相关性]

[Effects of uterine contraction and a beta-stimulant on placental and fetal brain blood flow in correlation with fetal heart rate changes].

作者信息

Hidaka A, Komatani M, Suzuki Y, Sakamoto H, Ikeda H, Okada K, Sugawa T

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1987 Mar;39(3):373-9.

PMID:2881970
Abstract

The effects of uterine contraction on placental and fetal brain blood flow in correlation with fetal heart rate change and also beta-stimulant on placental and fetal brain blood flow during late deceleration were studied in late pregnant rabbits. We determined the fetal heart rate (FHR) and placental and fetal brain blood flow by a thermocouple method under urethane anesthesia. Fetuses exposed to a more than 30% decrease in placental blood flow by uterine contraction developed more than 20% bradycardia and also a significant decrease in fetal brain blood flow. There are a significant relationship between the decrease in FHR and fetal brain blood flow. beta-stimulant administered to the mother suffering from already severely hypoxic fetal bradycardia increased FHR in accordance with the increase in the placental blood flow and moreover there was recovery from decreased fetal brain blood flow.

摘要

在妊娠晚期兔子中,研究了子宫收缩对胎盘和胎儿脑血流的影响及其与胎儿心率变化的相关性,以及β-兴奋剂在晚期减速期间对胎盘和胎儿脑血流的影响。我们在氨基甲酸乙酯麻醉下,通过热电偶法测定胎儿心率(FHR)以及胎盘和胎儿脑血流。因子宫收缩导致胎盘血流减少超过30%的胎儿,出现了超过20%的心动过缓,且胎儿脑血流也显著减少。FHR下降与胎儿脑血流之间存在显著关系。对已患有严重缺氧性胎儿心动过缓的母体给予β-兴奋剂,可使FHR随胎盘血流增加而升高,而且胎儿脑血流减少的情况有所恢复。

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