多普勒超声对妊娠期高血压患者子宫动脉血流的检测情况分析

发布时间：2018-05-23 15:46

本文选题：妊娠期高血压 + 多普勒超声　；参考：《中国地方病防治杂志》2017年01期

【摘要】：目的探讨多普勒超声对妊娠期高血压患者子宫动脉血流的检测情况。方法选择我院2015年2月至2016年2月我院接诊的80例妊娠期高血压患者作为观察组,并选择同期我院接诊的80例正常妊娠产妇作为对照组。使用美国GE Voluson E8超声多普勒血流检测仪,比较两组子宫动脉血流及妊娠结局;并根据是否出现舒张早期切迹将观察组分为切迹组和无切迹组,比较两组妊娠结局。结果观察组阻力指数、搏动指数、收缩-舒张流速比值均比对照组高[(0.59±0.06)vs(0.51±0.03),(0.95±0.18)vs(0.72±0.12),(2.47±0.52)vs(2.01±0.31)],差异均具有统计学意义(P0.05);观察组新生儿体重明显低于对照组,早产、剖宫产、胎儿窘迫明显高于对照组,差异均具有统计学意义(P0.05);在观察组中,舒张早期切迹发生率为45.00%(36/80),切迹组新生儿体重明显低于无切迹组,早产、羊水异常、胎儿窘迫发生率均明显高于无切迹组,差异均具有统计学意义(P0.05)。结论在妊娠期高血压患者中应用多普勒超声检测子宫动脉血流动力学有助于预测不良妊娠结局,临床应用价值高。
[Abstract]:Objective to investigate the detection of uterine artery flow in hypertensive women with gestational hypertension by Doppler ultrasound. Methods from February 2015 to February 2016, 80 pregnant women with hypertension complicating pregnancy were selected as observation group and 80 normal pregnant women in the same period as control group. The uterine artery blood flow and pregnancy outcome were compared by US GE Voluson E8 ultrasound Doppler flow detector, and the observed group was divided into notch group and no notch group according to whether there was early diastolic notch, and compared the pregnancy outcome between the two groups. Results the resistance index, pulsatility index and systolic / diastolic velocity ratio in the observation group were significantly higher than those in the control group [0.59 卤0.06)vs(0.51 卤0.03 卤0.95 卤0.12 卤2.47 卤0.31], the difference was statistically significant (P 0.05), the weight of the newborns in the observation group was significantly lower than that in the control group, preterm delivery, cesarean section, fetal distress were significantly higher than those in the control group. In the observation group, the incidence of early diastolic notch was 45.00% (36 / 80), the weight of newborns in the notch group was significantly lower than that in the no notch group, the incidence of premature delivery, amniotic fluid abnormality and fetal distress was significantly higher in the observation group than in the no notch group. The difference was statistically significant (P 0.05). Conclusion the application of Doppler ultrasound in the detection of uterine artery hemodynamics in hypertensive complicating pregnancy is helpful to predict the adverse pregnancy outcome, and the clinical application value is high.
【作者单位】：哈励逊国际和平医院;
【基金】：衡水市科技计划项目(15002)
【分类号】：R445.1;R714.246

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