超声多普勒多参数评价妊娠期高血压疾病患者胎儿宫内情况

发布时间：2018-01-17 19:05

本文关键词：超声多普勒多参数评价妊娠期高血压疾病患者胎儿宫内情况　出处：《安徽医科大学学报》2017年08期 　论文类型：期刊论文

【摘要】：目的应用超声多普勒技术监测晚孕期胎儿右室Tei指数,静脉导管S峰、D峰、A峰、阻力指数(RI)、搏动指数(PI)值,大脑中动脉及脐动脉的RI、PI、S/D数值,评价妊娠期高血压疾病对宫内胎儿的影响。方法选取晚孕妊娠期高血压疾病患者45例,其中妊娠期高血压和轻度子痫前期25例,重度子痫前期20例,对照组35例。常规获取右室Tei指数,静脉导管S、D、A值,大脑中动脉及脐动脉的RI、PI、S/D数值。结果和对照组进行比较,重度子痫前期组静脉导管A峰、大脑中动脉RI、PI、S/D均降低,差异存在统计学意义(P0.05);和对照组进行比较,重度子痫前期组右室Tei,静脉导管S、D峰、RI、PI,脐动脉RI、PI、S/D值升高,差异有统计学意义(P0.05)。结论联合使用超声多普勒多参数分析,可以对晚孕妊娠期高血压疾病患者宫内胎儿情况进行更准确细致的评价,将有着广泛的临床应用价值。
[Abstract]:Objective to monitor fetal right ventricular Tei index, venous ductus S peak D peak A, resistance index (RI) and pulsatile index (Pi) by ultrasound Doppler technique. To evaluate the effects of hypertensive disorder complicating pregnancy on intrauterine fetuses, the RIPIV S / D values of middle cerebral artery and umbilical artery were evaluated. Methods 45 patients with hypertensive disorder complicating pregnancy were selected. There were 25 cases of gestational hypertension and mild preeclampsia, 20 cases of severe preeclampsia and 35 cases of control group. The Tei index of right ventricle and the value of venous catheter were routinely obtained. Results compared with the control group, the peak A of venous ducts and the RII-P / D of the middle cerebral artery in the severe preeclampsia group were significantly lower than those in the control group. The difference was statistically significant (P 0.05). In the severe preeclampsia group, the right ventricular Tei, RII-PII and S / D of the umbilical artery were increased in the severe preeclampsia group compared with those in the control group. Conclusion combined use of ultrasound Doppler multi-parameter analysis can be more accurate and detailed evaluation of intrauterine fetal condition in patients with hypertensive disorder complicating pregnancy in late pregnancy. Will have extensive clinical application value.
【作者单位】：安徽医科大学第一附属医院超声科;安徽医科大学第二附属医院超声科;
【基金】：安徽省卫生厅第二批科研计划项目(妇儿课题)(编号:13FR027)
【分类号】：R445.1;R714.246
【正文快照】： 2017-04-25接收妊娠期高血压疾病是妊娠期特有的疾病,分类包括妊娠期高血压、子痫前期、子痫等,会严重影响母婴健康,导致宫内胎儿低氧缺血、宫内窘迫,甚至出现胎死宫内等严重状况,是孕产妇和围生儿发病和死亡的主要原因之一。其病理生理变化是全身小动脉的痉挛,临床表现可为妊

【相似文献】