妊娠晚期不同孕周脐动脉血流SD异常值标准分析

【摘要】目得探讨妊娠晚期不同孕周脐动脉血流图 S／Ｄ 值正常与异常得分界值方法应用胎儿 脐血 流检测仪监测妊娠晚期脐动脉血流 1 752 例，计算各孕周 S／Ｄ得平均值与标准差，分析正常与异常得界限值，设定值以妊娠 36 周 S／D≥３、０异常值，每小于 1孕周，此值增加 0、1，每于 1 孕周，此值降低 0、1。结果各孕周间得异常检出率比较稳定，异常检出率为 6、8%。结论应用 S／Ｄ异常设定值，比单纯以 S／Ｄ≥3、０或以平均、标准差计算作为异常值，有利于临床工作。 【关键词】脐动脉血流图；异常值 Investigate the S/D unusual boundary value in navel artery blood flow picture ZHANG ZaiqingLI Fasheng The Second People's Hospital of Shenzhen518035 【Ａ bstract】ObjectiveTo investigate the S/D unusual boundary value in navel artery blood flow picture、Methods1752 cases of the navel arteries blood flow in later period gestation were detected by fetus' navel blood flow detector、The average value and standard deviation of S/D of every pregnant weeks were calculated and the unusually demarcation line value were analysed、S/D≥3、0 was regarded as the unusual worth of the 36th pregnant week、This value increased by 0、１ with the pregnant weeks decreasing every one week and thus the opposite、ResultsThe unusual checked-out rate 6、８％ was stable、ConclusionIt was more helpful for clinical work with S/D unusual worth than S/D≥3、０ simple or with their average or standard deviation as unusual value、 【Key words】navel artery blood picture,unusual value 利用超声普勒技术对胎儿胎盘进行血流监测，有利于早期发现胎儿宫内缺氧，及时予以正确处理，有利于保障围生儿得安全。脐血流收缩末期峰值(S)与舒张末期峰值(D)得比值，就是临床最常用得指标，由于随妊娠周数得增加，胎盘循环阻力逐渐降低，舒张末期血流速度增加，S／Ｄ比值逐渐下降。由于 S／Ｄ异常比值并不具有特定性，确定 S／Ｄ值得异常值具有重要得临床价值。 1 资料与方法 1．１般资料 2001 年 6 月至 2025 年 3 月，选...