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母体高氧对低风险人类胎儿呼吸运动、身体运动及休息 - 活动周期的影响。

The effect of maternal hyperoxia on breathing movements, body movements and rest-activity cycles of low-risk human fetuses.

作者信息

van Vliet M A, Creemers H M, van Heyst A F, Martin C B

出版信息

Eur J Obstet Gynecol Reprod Biol. 1985 Oct;20(4):221-8. doi: 10.1016/0028-2243(85)90068-1.

Abstract

The effects of maternal hyperoxia on fetal breathing and body movements, and on fetal activity state as reflected in the fetal heart rate pattern, were studied in 20 healthy gravida. Fetal breathing and trunk movements were observed by means of real-time ultrasound scanning, and the fetal heart rate was recorded continuously before, during and after 30 min of maternal oxygen inhalation by mask. Maternal transcutaneous oxygen tension (TcPO2) was measured in 9 subjects. The protocol was also carried out in ten of the gravidas with substitution of compressed air for oxygen. Maternal TcPO2 nearly doubled during oxygen breathing in the subjects in whom this was measured. There were no significant changes in the incidence of fetal breathing or trunk movements, or in the distribution of heart rate patterns, during maternal oxygen breathing. Also, no differences were observed in these variables between the oxygen and compressed-air experiments. We conclude that the normal level of fetal oxygenation does not limit fetal activity in uncomplicated pregnancies.

摘要

在20名健康孕妇中研究了母体高氧对胎儿呼吸、身体活动以及胎儿心率模式所反映的胎儿活动状态的影响。通过实时超声扫描观察胎儿呼吸和躯干运动,并在孕妇面罩吸氧30分钟之前、期间和之后连续记录胎儿心率。对9名受试者测量了母体经皮氧分压(TcPO2)。还对10名孕妇进行了该实验,用压缩空气代替氧气。在测量了母体TcPO2的受试者中,吸氧期间母体TcPO2几乎翻倍。在母体吸氧期间,胎儿呼吸或躯干运动的发生率以及心率模式的分布没有显著变化。此外,在氧气和压缩空气实验之间,这些变量也没有观察到差异。我们得出结论,在无并发症的妊娠中,正常水平的胎儿氧合并不限制胎儿活动。

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