胎儿宫内缺血缺氧心电图表现的新认知 [中文引用][英文引用]

目的 探讨胎儿宫内缺血缺氧心电图的主要表现。方法 从本院2015年6月开展第二代四通道胎儿心电图技术检测的孕龄≥16周以上孕妇中选取305例胎儿宫内缺血缺氧病例进行追踪研究，对其心电图表现进行分析。结果 305例宫内缺血缺氧胎儿共有283例表现为胎儿心律失常，发生率为92.8%，主要表现为“紊乱型”的胎儿心律失常，其中又以胎儿心动过速、胎儿心动过缓交替性反复出现最为常见；有22例表现为FST段异常偏移，发生率为7.2%，差异有统计学意义（P＜0.05）。结论 胎儿宫内缺血缺氧的心电图表现与成人表现存在差异，心电图以胎儿心律失常为主要表现。

Objective To investigate the main manifestations of electrocardiogram in fetal intrauterine ischemia and hypoxia. Method A follow-up study of 305 cases of intrauterine ischemia and hypoxia in fetus from the second generation four channel ECG detection of fetal gestational age in more than 16 weeks pregnant women in our hospital in June 2015 was carried out and their electrocardiogram was analyzed. Results 283 cases of 305 cases of fetus with intrauterine ischemia and hypoxia suffered from fetal arrhythmia and the incidence rate was 92.8%, mainly for the "disorder" fetal arrhythmia. That is, fetal tachycardia, fetal bradycardia alternately repeated. 22 cases showed abnormal migration of FST segment, and the incidence rate was 7.2%. The difference was statistically significant (P<0.05). Conclusions The electrocardiogram of fetal intrauterine ischemia and hypoxia is different from that of adult, and the main manifestation of electrocardiogram is fetal arrhythmia.