| 韩红芳,乞艳华,郑转梅,屈秋慧,赵 静.彩色多普勒超声用于评估妊娠高血压缺氧程度的临床价值[J].,2020,(16):3074-3077 |
| 彩色多普勒超声用于评估妊娠高血压缺氧程度的临床价值 |
| Clinical Value of Color Doppler Ultrasound in Assessing the Degree of Hypoxia in Pregnancy-induced Hypertension |
| 投稿时间：2019-11-23 修订日期：2019-12-18 |
| DOI：10.13241/j.cnki.pmb.2020.16.015 |
| 中文关键词: 妊娠高血压 彩色多普勒超声 新生儿 缺氧 |
| 英文关键词: Pregnancy hypertension Color Doppler ultrasound Neonatal Hypoxia |
| 基金项目:陕西省社发攻关项目(S2015YFSF0310) |
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| 中文摘要: |
| 摘要 目的：探讨彩色多普勒超声用于评估妊娠高血压缺氧程度的临床价值。方法：将我院自2017年6月至2019年6月收治的妊娠高血压患者106例作为研究组及同期产检正常孕妇103例作为对照组，采用彩色多普勒超声检查仪监测两组孕妇的子宫动脉血流动力学情况，并分析新生儿的缺氧程度。结果：研究组孕妇脐血流搏动指数(pulsatility index，PI)、脐血流阻力指数(resistance index，RI)和脐动脉血流收缩期/舒张期(S/D)水平均明显高于对照组(P＜0.05)，舒张早期切迹发生率为47.17 %，亦明显高于对照组8.74 %(P＜0.05)。研究组孕妇平均孕周、新生儿体重和体重指数均明显少于对照组(P＜0.05)，其早产率为19.81 %、剖宫产率为64.15 %、胎儿窘迫发生率为15.09 %，均明显高于对照组(5.83 %、19.42 %、4.85 %，P＜0.05)。研究组中切迹组孕周、新生儿体重均明显小于非切迹组(P＜0.05)。研究组羊水异常发生率为16.00 %，早产率为40.00 %，新生儿窒息率为14.00 %，胎儿窘迫发生率为26.00 %，均明显高于对照组(5.36 %、1.79 %、1.79 %、5.38 %，P＜0.05)。结论：采用彩色多普勒超声仪检测孕妇子宫动脉血流频谱可作为了解子宫-胎盘-胎儿循环的检查方式，评估妊娠并发症的发生风险，监测胎儿宫内生长发育。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical value of color Doppler ultrasound in assessing the degree of hypoxia in pregnancy-induced hypertension. Methods: A total of 106 pregnancy-induced hypertensive admitted to our hospital from June 2017 to June 2019 were enrolled in the study group, and 103 normal pregnant women in the same period as the control group, and the two groups were monitored by color Doppler ultrasonography. The uterine artery hemodynamics of the two groups of pregnant women were monitored by color Doppler ultrasonography, and the degree of hypoxia in neonates was analyzed. Results: The RI, PI and S/D levels of the pregnant women in the study group were significantly higher than those in the control group (P<0.05). The early diastolic sinus rate was 47.17 %, which was significantly higher than the control group (8.74 %, P<0.05). The average gestational age, neonatal weight and body mass index of the pregnant women in the study group were significantly lower than those in the control group (P<0.05), and the premature rate was 19.81 %, the cesarean section rate was 64.15 %, and the fetal distress rate was 15.09 %, which was significantly higher than the control group (5.83 %, 19.42 %, and 4.85 %, P<0.05). The gestational age and neonatal weight of the incision group in the study group were significantly lower than those in the non-incision group (P<0.05). The incidence of amniotic fluid abnormality in the study group was 16.00 %, the premature birth rate was 40.00 %, the neonatal asphyxia rate was 14.00 %, and the incidence of fetal distress was 26.00 %, which was significantly higher than the control group (5.36%, 1.79%, 1.79%, 5.38 %, P<0.05). Conclusion: Using color Doppler ultrasound to detect the uterine artery blood flow spectrum of pregnant women can be used as a way to understand the uterus-placenta-fetal circulation, assess the risk of pregnancy complications, and monitor the intrauterine growth and development. |
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