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目的:探讨常压氧疗法治疗胎儿和胎盘疾患的疗效。方法:对多普勒胎儿超声检查诊断为各类胎儿心律失常331例、瓣膜返流81例、胎盘循环功能下降88例,采用常压氧疗法(又称高浓度面罩吸氧)治疗,另以未治疗194例为对照。结果:常压氧治疗组总痊愈率为:各类心律失常92.3%;瓣膜返流84.0%;胎盘循环功能下降95.5%。对照组总痊愈率为:各类心律失常37.5%;三尖瓣返流34.1%;胎盘循环功能下降23.3%。两组比较差异均有显著性(P<0.01)。常压氧治疗组痊愈和好转的比率显著高于未治疗组。结论:常压氧疗法是治疗胎儿和胎盘疾患有效和安全的方法。
Objective: To investigate the effect of atmospheric oxygen therapy on fetal and placental disorders. Methods: Doppler ultrasound examination of fetus was diagnosed as various types of fetal arrhythmias in 331 cases, valvular regurgitation in 81 cases, decreased placental function in 88 cases, the use of atmospheric oxygen therapy (also known as high concentration mask oxygen) and the other 194 cases not treated as a control. Results: The total cure rate of normobaric oxygen therapy group was 92.3% of all kinds of arrhythmia, 84.0% of valve regurgitation and 95.5% of placental circulation function. The control group, the total cure rate was: 37.5% of all types of arrhythmia; tricuspid regurgitation 34.1%; placental function decreased by 23.3%. The differences between the two groups were significant (P <0.01). The rate of recovery and improvement of the normobaric oxygen treatment group was significantly higher than that of the untreated group. Conclusion: Atmospheric oxygen therapy is an effective and safe method for the treatment of fetal and placental disorders.