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目的:分析胎儿脐血流异常治疗与否对围产儿的健康影响。方法:对224例胎儿脐血流异常者分成治疗组与对照组,对比分析两组围产儿预后的异同。结果:胎儿脐血流异常病例治疗与否对围产儿预后有较大影响,孕期在28～36周进行治疗与37周以上进行治疗的效果差异明显,前者治疗效果较为显著,两者比较差异有统计学意义(P<0.05)。而脐血流异常治疗组的围产儿死亡率、胎儿生长迟缓(FGR)、缺氧缺血性脑病(HIE)及新生儿窒息都要明显低于异常对照组,差异有统计学意义(P<0.05)。异常治疗组与正常组各指标间差异无统计学意义(P>0.05)。结论:对孕期为28周以上胎儿应进行脐血流检查,发现胎儿脐血流异常提示胎儿在宫内可能处于不良状态,指导临床积极处理,有利于改善不良围产儿预后。
Objective: To analyze the health effects of abnormal fetal or umbilical cord blood flow on perinatal children. Methods: 224 cases of abnormal fetal cord blood flow were divided into treatment group and control group, and the differences between the two groups were compared. Results: Whether or not the fetal umbilical cord blood flow abnormality treatment has a greater impact on the prognosis of perinatal children, the effect of treatment during 28-36 weeks of pregnancy and 37 weeks of pregnancy is significant, the former treatment effect is more obvious, the difference between the two is Statistical significance (P <0.05). Perinatal mortality, fetal growth retardation (FGR), hypoxic-ischemic encephalopathy (HIE) and neonatal asphyxia were significantly lower than those in the control group (P < 0.05). There was no significant difference between each index of abnormal treatment group and normal group (P> 0.05). Conclusion: Umbilical cord blood flow examination should be performed on fetuses with gestational age above 28 weeks. It is found that fetal umbilical cord blood flow abnormalities may indicate that the fetus may be in an unfavorable condition in the uterus, guiding clinical active treatment and improving the prognosis of poor perinatal children.