| 高 翔,张晓明,刘 婧,尹海军,高 娜,王丽娜,王长城.产前超声孕妇血流动力学血流参数监测对中晚期胎儿宫内生长受限临床意义分析[J].,2023,(1):118-121 |
| 产前超声孕妇血流动力学血流参数监测对中晚期胎儿宫内生长受限临床意义分析 |
| Analysis of the Clinical Significance of Prenatal Ultrasound Hemodynamic Monitoring of Blood Flow Parameters for Intrauterine Growth Restriction in Middle and Late Fetuses |
| 投稿时间：2022-04-08 修订日期：2022-04-30 |
| DOI：10.13241/j.cnki.pmb.2023.01.023 |
| 中文关键词: 中晚期宫内胎儿生长受限 彩色多普勒超声 子宫动脉 脐动脉 大脑中动脉 |
| 英文关键词: Middle and late intrauterine fetal growth restriction Color Doppler ultrasound Uterine artery Umbilical artery Middle cerebral artery |
| 基金项目:内蒙古自治区科技计划项目（2020GG0086） |
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| 摘要 目的：通过监测产前彩色多普勒超声心动图子宫动脉、脐动脉和大脑中动脉的血流参数，进而分析其在中晚期宫内胎儿生长受限（FGR）的临床意义。方法：以我院2020年1月-2021年12月就诊的中晚期孕妇为研究对象，其中110例为孕晚期FGR孕妇，60例为孕晚期健康孕妇，分别记录为FGR组（n=110）和对照组（n=60），用彩色多普勒超声监测两组孕晚期孕妇的多血管（子宫动脉、脐动脉和大脑中动脉）的3个血流参数，对比两组之间血流参数的差异性；并根据Apgar评分，比较不同Apgar评分下的血流参数差异，分析子宫动脉、脐动脉和大脑中动脉的3个血流参数与宫内FGR的相关性。结果：（1）FGR组胎儿子宫动脉的3个血流参数（RI、PI、S/D）均显著高于对照组（P<0.05）；（2）FGR组胎儿脐动脉的3个血流参数（RI、PI、S/D）均显著高于对照组（P<0.05）；（3）FGR组胎儿大脑中动脉的3个血流参数（RI、PI、S/D）均显著低于对照组（P<0.05）；（4）Apgar≤7分组子宫动脉的3个血流参数（RI、PI、S/D）显著高于Apgar＞7分组，Apgar≤7分组脐动脉的3个血流参数（RI、PI、S/D）显著高于Apgar＞7分组，Apgar≤7分组大脑中动脉的3个血流参数（RI、PI、S/D）显著低于Apgar＞7分组。结论：彩色多普勒超声心动图子宫动脉、脐动脉、大脑中动脉3个血流参数（RI、PI、S/D）异常与FGR的发生密切相关，为临床筛查和诊断FGR提供有用帮助。 |
| 英文摘要: |
| ABSTRACT Objective: The blood flow parameters of uterine artery, umbilical artery and middle cerebral artery on prenatal color Doppler echocardiography were monitored to analyze the clinical significance of the parameters in the middle and late intrauterine fetal growth restriction (FGR). Methods: The middle and late pregnant women who visited our hospital in January 2020- December 2021 were selected as the research objects, of which 110 were pregnant women with FGR in the third trimester and 60 were healthy pregnant women in the third trimester, and they were recorded as the FGR group (n= 110) and the matched group (n=60), color Doppler ultrasound was used to monitor the three blood flow parameters of the polyvascular (uterine artery, umbilical artery and middle cerebral artery) of pregnant women in the third trimester of the two groups, and the blood flow between the two groups was compared. The differences of flow parameters were compared; and according to the Apgar score, the differences of blood flow parameters under different Apgar scores were compared, and the correlation between the three blood flow parameters of uterine artery, umbilical artery and middle cerebral artery and intrauterine FGR was analyzed. Results: (1) The three blood flow parameters (RI, PI, S/D) of the fetal uterine artery in the FGR group were higher than those in the matched group (P<0.05); (2) The three blood flow parameters of the fetal umbilical artery in the FGR group (RI, PI, S/D) were higher than those in the matched group (P<0.05); (3) The three blood flow parameters (RI, PI, S/D) of the fetal middle cerebral artery in the FGR group were lower than those in the matched group (P<0.05); (4) The three blood flow parameters (RI, PI, S/D) of the uterine artery in the Apgar≤7 group were higher than those in the Apgar>7 group, and the three blood flow parameters of the umbilical artery in the Apgar≤7 group (RI, PI, S/D) were higher than those in the Apgar>7 group, and the three blood flow parameters (RI, PI, S/D) of the middle cerebral artery in the Apgar≤7 group were lower than those in the Apgar>7 group. Conclusion: Color Doppler echocardiography abnormal blood flow parameters (RI, PI, S/D) of uterine artery, umbilical artery and middle cerebral artery are closely related to the occurrence of FGR, providing useful help for clinical screening and diagnosis of FGR. |
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