分娩期胎儿监护中测量血液pH值的价值（作者译）

[The value of measuring blood pH in fetal monitoring during labour (author's transl)].

作者信息

Pontonnier G, Grandjean H, Derache P, Reme J M, Boulogne M, de Mouzon J

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1978 Sep;7(6):1065-77.

Abstract

The authors present a series of methodological studies carried out to assess the value of the place of measuring fetal blood pH in monitoring in labour. Comparisons of the measures of pH, pCO2, pO2 and lowering of the base were carried out on the scalp in the 3 minutes which preceded the birth and in the umbilical vessels at birth. Comparing the three modes of taking blood in the mother, intra-arterially and from the capillaries with and without local vasodilatation was carried out. The limits of the values were defined both for the fetus and the mother of the parameters of pH, pCO2, pO2 and base deficit in 100 normal deliveries. A study was carried out of their correlations with the Apgar score at 1 minute and with the arterial pH. A comparison of the two series of measurements was carried out on the vessels of the cord--arterial and venous. The results confirm the value of measuring pH for diagnosing the state of the infant during labour.

摘要

作者介绍了一系列方法学研究，这些研究旨在评估测量胎儿血pH值在产程监测中的价值。在出生前3分钟对头皮以及出生时对脐血管的pH值、pCO₂、pO₂和碱降低量进行了测量比较。比较了母亲体内动脉采血、毛细血管采血以及有和没有局部血管扩张情况下的三种采血方式。在100例正常分娩中确定了胎儿和母亲的pH值、pCO₂、pO₂和碱缺失参数的值范围。研究了它们与1分钟时阿氏评分以及动脉pH值的相关性。对脐带的动脉和静脉血管进行了两组测量的比较。结果证实了测量pH值对诊断产程中婴儿状况的价值。