The characteristic of cerebral artery blood flow velocity in hypertension pregnant women combined with depression
Objective To investigate the analysis of maternal cerebral artery blood flow velocity changes in hy-pertension in pregnancy(HIP)combined with depression.Methods In this study,83 maternal cases of HIP were observed from January 2021 to December 2022,and depressive symptoms were assessed using the Edinburgh Postpar-tum Depression Scale(EPDS)and were set up as a depression group as well as a control group.The general data of the two groups were compared,and the hemodynamic parameters of the middle cerebral artery such as pulsatility index(PI),mean blood velocity(Vm)and resistance index(RI)were measured by transcranial Doppler ultrasound.The correla-tion between the above parameters and the degree of depression was analyzed.Results Depression was detected in 24 cases of 83 HIP pregnant women,with a detection rate of 28.92％.The differences in the number of births and literacy of the depressed group were statistically significant(P＜0.05).The differences in age,gestational week,and place of residence between the two groups were not statistically significant(P＞0.05).Vm was significantly higher and PI and RI were significantly lower in the depressed group than in the control group(P＜0.05).EPDS scores were positively correlated with Vm and negatively correlated with PI and RI(P＜0.05).Conclusion Maternal HIP combined with depression has abnormal middle cerebral artery hemodynamics,as evidenced by elevated Vm and decreased PI and RI,and is associated with the degree of depression.
Hypertension in pregnancyDepressionCerebral artery blood flow velocity
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