彩超检测妊娠中晚期子宫动脉血流频谱在妊娠高血压综合征中的应用价值

摘要
图/表
参考文献(15)
相关文章 (15)

全文: PDF (0 KB) HTML (33 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨彩超检测妊娠中晚期子宫动脉血流频谱在妊娠高血压综合征中的应用价值。结果选取2018年10月～2019年1月我院收治的60 例妊娠中晚期孕妇作为研究对象，所有孕妇均行彩超检查，按照有无妊娠高血压综合征分为对照组和观察组，每组各30 例。对照组为妊娠中晚期健康的孕妇，观察组为妊娠中晚期伴高血压综合征的孕妇，其中观察组包含妊娠期高血压8 例，子痫前期孕妇12 例，子痫期孕妇10 例。比较两组孕妇及不同疾病类型孕妇的动脉搏动指数（PI）、阻力指数（RI）、胎儿脐动脉收缩压与舒张压的比值（S/D）及PI、RI、S/D 阳性率。结果观察组孕妇的PI、RI、S/D 均高于对照组，差异有统计学意义（P＜0.05）；子痫期孕妇的PI、RI 和S/D 值高于子痫前期和妊娠期高血压的孕妇，子痫前期孕妇的PI、RI、S/D 值高于妊娠期高血压的孕妇，差异均有统计学意义（P＜0.05）；观察组孕妇的PI、RI、S/D 阳性率分别为93.33%、90.00%、86.67%，高于对照组的6.67%、10.00%、6.67%，差异均有统计学意义（P＜0.05）。结果妊娠中晚期行产前检查，可根据孕妇彩超子宫动脉血流频谱为医师临床鉴别妊娠高血压综合征提供可靠侧参考依据，具有较好的应用价值。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	梁珍
	周婷
	尹春晖

关键词 ：彩超, 妊娠中晚期, 妊娠高血压综合征, 血流频谱

Abstract：Objective To explore the application value of color Doppler ultrasonography in detecting uterine artery blood flow spectrum in middle and late pregnancy-induced hypertension syndrome.Methods Sixty cases of pregnant women in the middle and late pregnancy were selected as the research objects from October 2018 to January 2019,All pregnant women were examined by color Doppler ultrasound,they were divided into control group and observation group according to whether there was pregnancy-induced hypertension syndrome (PIH),30 cases in each group.The control group was healthy pregnant women in the second and third trimesters of pregnancy,while the observation group was pregnant women with hypertension syndrome in the second and third trimesters of pregnancy,the observation group included 8 cases of gestational hypertension,12 cases of preeclampsia and 10 cases of preeclampsia.The arterial pulsation index (PI),resistance index (RI),the ratio of systolic and diastolic blood pressure of fetal umbilical artery (S/D) and the positive rates of PI,RI and S/D were compared between the two groups.Results The PI,RI and S/D of pregnant women in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The PI,RI and S/D values of preeclampsia pregnant women were higher than those of preeclampsia and pregnancy-induced hypertension pregnant women,and the PI,RI and S/D values of preeclampsia pregnant women were higher than those of pregnancy-induced hypertension pregnant women,the differences were statistically significant (P<0.05).The positive rates of PI,RI and S/D of pregnant women in the observation group were 93.33%,90.00% and 86.67% respectively,which were higher than those in the control group 6.67%,10.00% and 6.67%,respectively,the differences were statistically significant (P<0.05).Conclusion Prenatal examination in middle and late pregnancy can provide reliable side reference for physicians to differentiate pregnancy-induced hypertension syndrome according to the color Doppler ultrasound of uterine artery blood flow of pregnant women,it has good application value.

Key words： Color Doppler ultrasound Middle and late pregnancy Pregnancy-induced hypertension syndrome Blood flow spectrum

基金资助:江西省赣州市指导性科技计划项目（GZ2018ZSF618）

引用本文:

梁珍;周婷;尹春晖. 彩超检测妊娠中晚期子宫动脉血流频谱在妊娠高血压综合征中的应用价值[J]. 中国当代医药, 2019, 26(27): 121-123.
LIANG Zhen;ZHOU Ting;YIN Chun-hui. Application value of color Doppler ultrasonography in detecting uterine artery blood flow spectrum in middle and late pregnancy-induced hypertension syndrome. 中国当代医药, 2019, 26(27): 121-123.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2019/V26/I27/121

[1]	冯俐平，李景平，吴利玲，等.妊娠期高血压疾病患者血清TNF-α、IL-6 与ET 的水平变化及临床意义[J].海南医学，2013，24（5）：705-707.
[2]	牛春.多普勒超声监测子宫动脉血流在妊娠期高血压疾病管理中的价值研究[J].中国卫生产业，2015，12（21）：7-9.
[3]	周俭珊，黄海燕，叶红.Apelin/AP J 系统与妊娠期高血压疾病关系的研究进展[J].广东医学，2015，36（21）：3412-3414.
[4]	唐诚，冯砚瑜，曾茂平，等.子宫动脉与脐动脉血流分析在预测妊娠高血压综合征发生的应用研究[J].中医临床研究，2017，9（12）：27-29.
[5]	任丽娟，孔延亮.应用彩色多普勒超声检测子宫动脉对子痫前期的预测价值[J].医学临床研究，2016，33（10）：1921-1922，1925.
[6]	韩艳君，张满凤，李艳，等.妊娠期高血压疾病与血小板降低及子宫动脉血流异常的相关性[J].山西医药杂志，2016，45（1）：14-16.
[7]	庄依亮.现代产科学[M].2 版.北京：科学出版社，2009：17.
[8]	廖慧芳.彩色多普勒超声检测子宫动脉和螺旋动脉对妊娠高血压综合征的预测价值[J].基层医学论坛，2017，21（29）：4035-4036.
[9]	周爱领，张晓艳，孙桂平.子宫动脉、螺旋动脉血流动力学变化在妊娠高血压综合征预测中的临床价值分析[J].现代中西医结合杂志，2011，20（11）：1319-1320，1421.
[10]	叶晓铿，柳之彦.妊娠期高血压疾病患者晚孕期子宫动脉血流频谱的临床研究[J].福建医药杂志，2016，38（4）：123-124.
[11]	郭哲佼，杨兵社，罗婷.关于妊娠期高血压疾病患者晚孕期子宫动脉血流频谱的临床研究[J].现代医用影像学，2017，26（1）：178-179.
[12]	洪喜萍.彩色多普勒超声检测脐动脉和子宫动脉血流在妊娠期高血压疾病诊治中的应用价值[J].中国妇幼保健，2017，32（17）：4260-4262.
[13]	王雅韵，苏海砾，拓胜军，等.子宫动脉血流动力学指标在预测妊娠高血压疾病不良结局中的价值[J].中国临床医学影像杂志，2017，28（4）：268-272.
[14]	吴学敏.彩超检测妊娠中晚期子宫动脉血流频谱在妊娠期高血压综合征中的价值[J].中国继续医学教育，2018，10（8）：59-60.
[15]	王海艳.妊娠高血压综合征的预测与子宫动脉血流波动指数的关系[J].临床医学，2017，37（4）：89-90.