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Int J Reprod Biomed. 2022 Mar 21;20(2):137-144. doi: 10.18502/ijrm.v20i2.10505. eCollection 2022 Mar.
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本文引用的文献

1
The clinical value of blood flow parameters of the umbilical artery and middle cerebral artery for assessing fetal distress.脐动脉和大脑中动脉血流参数对评估胎儿窘迫的临床价值。
Am J Transl Res. 2021 May 15;13(5):5280-5286. eCollection 2021.
2
Prevalence of abnormal umbilical arterial flow on Doppler ultrasound in low-risk and unselected pregnant women: a systematic review.低危且未经选择的孕妇群体中，多普勒超声检查的脐动脉血流异常的流行率：一项系统综述。
Reprod Health. 2021 Feb 12;18(1):38. doi: 10.1186/s12978-021-01088-w.
3
A Systematic Review and Meta-analysis on the Prevalence of Low Birth Weight Infants in Iran.伊朗低出生体重婴儿患病率的系统评价与荟萃分析
J Pregnancy. 2020 Oct 15;2020:3686471. doi: 10.1155/2020/3686471. eCollection 2020.
4
Intrauterine Growth Restriction Is Associated with Unique Features of the Reproductive Microbiome.宫内生长受限与生殖微生物组的独特特征有关。
Reprod Sci. 2021 Mar;28(3):828-837. doi: 10.1007/s43032-020-00374-5. Epub 2020 Oct 26.
5
Intrauterine growth restriction and its associated factors in South Gondar zone hospitals, Northwest Ethiopia, 2019.2019年埃塞俄比亚西北部贡德尔南区医院的宫内生长受限及其相关因素
Arch Public Health. 2020 Sep 29;78:89. doi: 10.1186/s13690-020-00475-2. eCollection 2020.
6
A computational fluid dynamics modelling of maternal-fetal heat exchange and blood flow in the umbilical cord.胎儿与脐带间母婴热交换与血流的计算流体动力学建模。
PLoS One. 2020 Jul 28;15(7):e0231997. doi: 10.1371/journal.pone.0231997. eCollection 2020.
7
Perinatal outcome of growth restricted fetuses with abnormal umbilical artery Doppler waveforms compared to growth restricted fetuses with normal umbilical artery Doppler waveforms at a tertiary referral hospital in urban Ethiopia.在埃塞俄比亚城市的一家三级转诊医院中，与脐动脉多普勒血流波形正常的生长受限胎儿相比，脐动脉多普勒血流波形异常的生长受限胎儿的围产儿结局。
PLoS One. 2020 Jun 18;15(6):e0234810. doi: 10.1371/journal.pone.0234810. eCollection 2020.
8
Editorial: Causes and Consequences of Intrauterine Growth Restriction.社论：宫内生长受限的原因及后果
Front Endocrinol (Lausanne). 2020 Apr 15;11:205. doi: 10.3389/fendo.2020.00205. eCollection 2020.
9
Incidence and Risk Factors for Hypoglycemia During Fetal-to-Neonatal Transition in Premature Infants.早产儿从胎儿到新生儿过渡期间低血糖的发生率及危险因素
Front Pediatr. 2020 Feb 11;8:34. doi: 10.3389/fped.2020.00034. eCollection 2020.
10
Significance of abnormal umbilical artery Doppler studies in normally grown fetuses.正常生长胎儿脐动脉多普勒检查异常的意义。
Matern Health Neonatol Perinatol. 2020 Feb 20;6:1. doi: 10.1186/s40748-020-0115-7. eCollection 2020.

宫内生长受限新生儿出生后低血糖与脐动脉多普勒超声检查的关系：一项纵向随访研究。

The relationship between postnatal hypoglycemia and umbilical artery Doppler ultrasonography in neonates with intrauterine growth restriction: A longitudinal follow-up study.

作者信息

Sadat Tabatabaie Razieh, Dehghan Naeime, Mojibian Mahdieh, Hosein Lookzadeh Mohamad, Namiranian Nasim, Javaheri Atiyeh, Hajisafari Mojgan

机构信息

Department of Obstetrics and Gynecology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Int J Reprod Biomed. 2022 Mar 21;20(2):137-144. doi: 10.18502/ijrm.v20i2.10505. eCollection 2022 Mar.

DOI:10.18502/ijrm.v20i2.10505
PMID:35434479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9002167/
Abstract

BACKGROUND

Intrauterine growth restriction (IUGR) refers to fetuses with an estimated ultrasonography weight below the 10% percentile. Hypoglycemia is a major concern in neonates with IUGR.

OBJECTIVE

To investigate the relationship between umbilical artery (UA) Doppler ultrasonography and neonate hypoglycemia and IUGR.

MATERIALS AND METHODS

This was a longitudinal follow-up study consisting of 114 neonates (gestational age of 28-40 wk) born with IUGR in the third trimester of pregnancy at Shahid Sadoughi Hospital, Yazd, Iran between May 2016 and October 2017. The neonates were assigned into three subgroups of normal UA Doppler, absent end-diastolic flow (EDF) in UA Doppler, and reverse EDF in UA Doppler. The blood glucose of the neonates was checked one, two, three, six, 12, 24 and 48 hr after birth, and the neonates were placed in the hypoglycemia or euglycemia groups according to guidelines.

RESULTS

Out of the 114 neonates included in the study, 75 (65.8%) had normal UA Doppler, 29 (25.4%) had absent EDF in UA Doppler, and 10 (8.8%) had reverse EDF in UA Doppler. There was a significant difference in the mean blood glucose in the first hr between the normal UA Doppler group and the reverse EDF in UA Doppler group (p 0.01).

CONCLUSION

Postnatal hypoglycemia in neonates with IUGR is associated with the result of UA Doppler ultrasonography during pregnancy.

摘要

背景

宫内生长受限（IUGR）是指超声估计体重低于第10百分位数的胎儿。低血糖是宫内生长受限新生儿的主要问题。

目的

探讨脐动脉（UA）多普勒超声与新生儿低血糖及宫内生长受限之间的关系。

材料与方法

这是一项纵向随访研究，研究对象为2016年5月至2017年10月期间在伊朗亚兹德市沙希德·萨杜基医院孕晚期出生的114例宫内生长受限新生儿（胎龄28 - 40周）。这些新生儿被分为脐动脉多普勒正常、脐动脉舒张末期血流缺失（EDF）和脐动脉舒张末期血流反向三个亚组。在出生后1、2、3、6、12、24和48小时检查新生儿血糖，并根据指南将新生儿分为低血糖组或血糖正常组。

结果

在纳入研究的114例新生儿中，75例（65.8%）脐动脉多普勒正常，29例（25.4%）脐动脉舒张末期血流缺失，10例（8.8%）脐动脉舒张末期血流反向。脐动脉多普勒正常组与脐动脉舒张末期血流反向组在出生后第1小时平均血糖有显著差异（p < 0.01）。

结论

宫内生长受限新生儿出生后低血糖与孕期脐动脉多普勒超声检查结果有关。