世界复合医学2024,Vol.10Issue(3) :87-90.DOI:10.11966/j.issn.2095-994X.2024.10.03.22

彩色多普勒超声在妊娠高血压伴胎儿宫内窘迫患者中的应用价值

Application Value of Color Doppler Ultrasound in Patients with Gestational Hypertensive and Fetal Intrauterine Distress

耿维维
世界复合医学2024,Vol.10Issue(3) :87-90.DOI:10.11966/j.issn.2095-994X.2024.10.03.22

彩色多普勒超声在妊娠高血压伴胎儿宫内窘迫患者中的应用价值

Application Value of Color Doppler Ultrasound in Patients with Gestational Hypertensive and Fetal Intrauterine Distress

耿维维1
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作者信息

  • 1. 盐城市妇幼保健院产科,江苏盐城 224000
  • 折叠

摘要

目的 分析对妊娠高血压患者进行彩色多普勒检查的临床价值.方法 方便选取盐城市妇幼保健院2020年9月—2023年9月收治的98例妊高症患者作为研究对象,其中妊娠高血压伴胎儿宫内窘迫的49例患者纳入高血压胎窘组,不伴胎儿宫内窘迫的49例患者纳入高血压组,同时选取49名体检健康孕妇作为正常对照组,均实施彩色多普勒超声诊断,比较3组的脐动脉血流动力学指标收缩期最大流量(S)与舒张终期流速(D)的比值(S/D)、心跳指数(pleth index,PI)及阻力指数(resis-tance index,RI).结果 高血压胎窘组、高血压组、正常对照组脐动脉血流动力学指标比较,前两组高于正常对照组,差异有统计学意义(P均<0.05).高血压胎窘组、高血压组、正常参照组大脑动脉血流动力学指标比较,差异有统计学意义(P均<0.05).结论 彩色多普勒对妊高征孕妇胎儿窘迫的临床价值显著,有利于对患者进行准确评估.

Abstract

Objective To analyze the clinical value of color Doppler examination for patients with gesta-tional hypertension.Methods A total of 98 patients with pregnancy-induced hypertension admitted to Yancheng Maternal and Child Health Hospital from September 2020 to September 2023 were conveniently se-lected as the study objects.49 patients with pregnancy-induced hypertension combined with fetal distress were included in the hypertensive fetal embarrassment group,and 49 patients with pregnancy-induced hypertension were included in the hypertension group.In the same period.49 healthy pregnant women were selected as the normal control group.Color Doppler ultrasound diagnosis was performed in all of them.The ratio of systolic maximal flow rate to end-diastolic flow rate(S/D),the pleth index(PI)and resistance index(RI)of umbilical ar-tery were compared among the 3 groups.Results Hypertensive fetal embarrassment group,hypertension group,comparison of umbilical arterial hemodynamics indexes in normal control group,the two groups before were higher than the normal reference group,the differences were statistically significant(all P<0.05).There were statistically significant differences in cerebral arterial hemodynamics between hypertensive fetal embarrassment group hypertension group,and normal control group(all P<0.05).Conclusion Color Doppler is of great clinical value in fetal distress in pregnant women with gestational hypertension,which is conducive to the accurate evaluation of patients.

关键词

彩色多普勒超声/妊娠期高血压/宫内窘迫/血流动力学

Key words

Color Doppler ultrasound/Gestational hypertension/Intrauterine distress/Hemodynamics

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出版年

2024
世界复合医学

世界复合医学

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