The effect of uterine contraction and parturient position on the utero-placental circulation, and its clinical application on the perinatal management

子宫收缩和临产体位对子宫胎盘循环的影响及其在围产期管理中的临床应用

• 批准号: 61570807
• 负责人: HASHIMOTO Takeji
• 金额: $ 0.9万
• 依托单位: Juntendo University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for General Scientific Research (C)
• 财政年份: 1986
• 资助国家: 日本
• 起止时间: 1986 至 1988
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-61570807/
• 关键词: Blood flow; Fetal distress; Fetal heart rate; Labor; Neonatal asphyxia; Plethysmography; Pregnancy; 脈波; 子宮-胎盤循環; ポセイロ効果; 妊婦

1.We recorded non-incasively the toe plethysmogram and the velocity curve in pregnant femoral artery. The poseiro effect phenomenon was observed during labor in 18 % out of cases examined. The 54 % of cases with poseiro effect were followed by the late deceleration of tetal heart rate. But fortunately they did not fall into neonatal asphyxia.2.The wave hight of toe plethysmogram and that of femoral blood velocity decreased or frequently disappeared during uterine contraction with poseiro effect.3.The localization of placenta preferred the right side or posterior wall of uterus in the cases with Poseiro effect.4.The tracing of correlation in wave hight between the both toe plethysmograms. The picture would be a good indicator to detect Poseiro effect phenomenon.5.The change of body position from supine to lateral releases quickly Poseiro effect and would prevent the fetal hypoxia.

1.非侵入性地记录了孕妇足趾血管容积图和股动脉血流速度曲线。产程中有18%的病例出现了波塞洛效应. 54%的波塞洛效应病例出现迟发性胎心率减慢. 2.宫缩时足趾血流图和股动脉血流图的波高降低或消失，3.胎盘定位于子宫右侧或后壁，4.两足趾血流图的波高相关性追踪。体位由仰卧位向侧卧位的改变能迅速释放波塞罗效应，防止胎儿缺氧。

项目成果

橋本武次,深間内一孝 他: 日本臨床生理学会雑誌. 18. 345-350 (1988)

Taketsugu Hashimoto、Kazutaka Fukamauchi 等人：日本临床生理学会杂志 18. 345-350 (1988)。

古堅善亮,他: 日本臨床生理学会雑誌. 17. 122 (1987)

Yoshiaki Furukatsu 等人：日本临床生理学会杂志 17. 122 (1987)。

古谷博、橋本武次 他: 産婦人科の世界. 39. 149-154 (1987)

Hiroshi Furuya、Takeji Hashimoto 等：妇产科世界 39. 149-154 (1987)。

古堅善亮,他: 日本産科婦人科学会関東連合地方部会会報. 46. 133 (1987)

Yoshiaki Furukatsu 等人：日本妇产科学会关东联盟地区分会通报 46. 133 (1987)。

Hiroshi Furuya; Takeji Hashimoto et al: "The observation of Poseiro effect by toe plethysmography and its clinical meanings" The World of Obstetrics and Gynecology. 39. 149-154 (1987)

古谷宏；