摘要
目的：了解胎儿头皮下组织液ｐＨ值预测胎儿窘迫的临床价值。方法：应用新型的螺旋式合金型电极及ｐＨ－ＬＳ－１型ｐＨ计，随机连续监测５２例胎儿产时头皮下组织液的ｐＨ值。结果：胎儿头皮下组织液ｐＨ值与脐动、静脉血ｐＨ有显著相关性（ｒ分别为０．８２２和０．７２５）。胎儿头皮下组织液ｐＨ值≥７．２０时，新生儿窒息率较低，而胎儿头皮下组织液ｐＨ值＜７．１５时，新生儿窒息率及难产率升高。结论：胎儿头皮下组织液ｐＨ值的测定是监测胎儿窘迫的一种有效、简便、无创伤性的方法。
Objective:ToasessthepredictivevalueofserialmonitoringfetalscalptisuepHval-ue(tpH)duringlabor.Method:Fiftytwoprimiparawithsingletonandcephalicpresentationwererecruitedduringtheiractivephaseoflaborafterruptureofmembrane.TheirfetalscalptpHwerede-terminedbyanewtypeofaloyedpHspiralelectrodeandpH-LS-1sensor.Thesevalueswerecom-paredwiththeumbilicalbloodpHvalues(bpH)measuredimmediatelyafterdelivery.Results:ThefetaltpHvaluesweresignificantlypositivecorrelatedwiththebpHvalues(r=0.822and0.725).TheincidenceofneonateasphyxiaintpH≥7.20groupwassignificantlylowerthanthoseoftpH<7.15group.Noadverseefectwasobservedinthisstudy.Conclusion:DeterminationoffetalscalptpHduringlaborisofpredictivevalueandharmlessfordetectingfetaldistres.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1996年第3期149-151,共3页
Chinese Journal of Obstetrics and Gynecology
基金
湖北省委科研项目基金
关键词
分娩
胎儿
体液
胎儿窘迫
LaborFetusBodyfluidsHydrogen-ionconcentrationFetaldistress
