高级检索

中孕期孕妇子宫动脉血流参数与子痫前期的相关研究

Research on pregnancy uterine artery blood flow parameters and pre-eclampsia among Trimester pregnancy

  • 摘要: 目的 探讨中孕期孕妇子宫动脉血流参数与子痫前期发病的相关性。方法 纳入深圳市光明新区中心医院2013年1月-2015年11月确诊为子痫前期的患者100例,其中轻度子痫前期的患者51例,重度子痫前期患者49例,同时纳入同期分娩的健康孕妇50例作为对照组。采用多普勒彩色超声诊断仪检测患者搏动指数(PI)、双侧子宫动脉收缩期与舒张期流速比(S/D)、阻力指数(RI)子宫动脉血流参数,随访至产后了解各项子宫血流参数对子痫前期预测的效果。结果 轻、重度子痫前期组患者孕22~24周搏动指数(PI)、双侧子宫动脉收缩期与舒张期流速比(S/D)、阻力指数(RI)子宫动脉血流参数高于正常对照组,孕11~14周均低于对照组,组间相比差异均具有统计学意义(P<0.05);表明孕22~24周时,各子宫动脉血流指数大小均与新生儿体质量呈负相关,即新生儿体质量越低,阻力指数越大,差异具有统计学意义(P<0.05);S/D及RI还与出生孕周呈负相关,出生孕周越小,指数越大,而新生儿Apgar评分与各血流阻力指数均无关。结论 运用子宫动脉血流指标可预测子痫前期的病情,具有良好的临床应用价值。

     

    Abstract: Objective To explore the relationship between uterine artery blood flow parameters of pregnant women and preeclampsia.Methods From January 2013 to November 2015,100 preeclampsia patients who were confirmed were selected as research group,and the group included 51 mild pre-eclampsia patients and 49 severe preeclampsia.At the same period,50 healthy pregnant women who gave birth were selected as control group.Doppler color ultrasound was used to detect patients pulsatility index (PI),uterine artery systolic and diastolic velocity ratio (S/D),resistance index (RI) of uterine artery blood flow parameters,and to carry out postpartum follow-up in order to understand uterine blood flow parameters to predict the effect of preeclampsia.Result Compared with control group,the indexes of pulsatility index (PI),uterine artery systolic and diastolic velocity ratio (S/D),resistance index (RI) of uterine artery blood flow parameters in research group pregnant with 22 to 24 weeks were higher,and research group pregnant with 11 to 14 weeks were lower,and the different were both statistically significant (P<0.05);these showed that when pregnant between 22 to 24 weeks,the size of the uterine artery blood flow were negative associated with body mass index of the newborn,the lower newborn body weight,the greater the resistance index,the difference was statistically significant (P<0.05);S/D and RI were negative associated with gestational age;the smaller the gestational age,the index more larger,and Apgar score were unrelated with the blood flow resistance index.Conclusion Uterine artery disease indicators can predict preeclampsia;this method has a good clinical value.

     

/

返回文章
返回