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目的:探讨临产时母血、脐血、羊水中的激活素A水平对胎儿窘迫的预测价值。方法:92例产妇依据胎儿窘迫诊断标准分为胎儿窘迫组72例与正常分娩组20例,分娩时留取母血、羊水、脐血检测激活素A水平,分析其与胎儿窘迫之间的关系。结果:胎儿窘迫组母血、脐血和羊水中的激活素A水平均较正常分娩组明显增高,差异均有统计学意义(P<0.05)。结论:临产时母血、脐血、羊水中激活素A水平增高,对胎儿窘迫有预测价值。
Objective: To investigate the predictive value of activin-A in maternal blood, umbilical cord blood and amniotic fluid during labor to fetal distress. Methods: According to the diagnostic criteria of fetal distress, 92 maternal women were divided into two groups: 72 cases of fetal distress group and 20 cases of normal delivery group. Maternal blood, amniotic fluid and umbilical cord blood were collected during labor to determine the relationship between fetal activation and fetal distress . Results: The levels of activin A in maternal blood, umbilical cord blood and amniotic fluid in fetal distress group were significantly higher than those in normal delivery group (P <0.05). Conclusion: The level of activin-A in maternal blood, umbilical cord blood and amniotic fluid during labor is high, which has predictive value for fetal distress.