首页|超声多普勒对藏族孕晚期胎儿脐带血流动力学的影响

超声多普勒对藏族孕晚期胎儿脐带血流动力学的影响

The influence of ultrasonic Doppler on the dynamics of umbilical cord blood flow in the third trimester of Tibetan fetuses

扫码查看
目的 探讨超声多普勒对藏族孕晚期胎儿脐带血流动力学的影响.方法 选取2022年1月~2023年12月在我院行产前检查及生产的孕产妇69例.以孕周将28~31+6周设为A组、32~35+6周设为B组、36~40周设为C组,用彩色多普勒超声系统自动测量功能,采集胎儿脐动脉的搏动指数(PI)、阻力指数(RI)、脐动脉收缩期/舒张期流速比值(S/D)参数,记录并进行统计学处理.结果 PI:A组 1.17±0.13、B组 1.04±0.14、C组0.96±0.15;RI:0.67±0.06、0.63±0.05和0.60±0.06;RI:3.10±0.52、2.87±0.51和2.53±0.40;PI、RI及S/D在不同孕周之间均有统计学差异,随着孕周增长呈下降趋势.结论 高原地区(>3000米)正常妊娠胎儿脐带胎盘循环阻力随着孕周增加逐渐减低,孕晚期胎儿脐动脉PI、RI及S/D平均值较平原地区高.
Objective To investigate the effect of ultrasonic Doppler on the umbilical cord blood flow dynamics of Tibetan fe-tuses in the third trimester.Methods:A total of 69 pregnant women who underwent prenatal examination and delivery in our hospital from January 2022 to December 2023 were selected.Group A(28~31+6 weeks of gestation),group B(32~35+6 weeks of gestation)and group C(36~40 weeks of gestation).The pulsatility index(PI),resistance index(RI)and systolic/diastolic veloc-ity ratio(S/D)of fetal umbilical artery were collected by the automatic measurement function of color Doppler ultrasound system.Results:PI:group A 1.17±0.13,group B 1.04±0.14,group C 0.96±0.15;RI:0.67±0.06,0.63±0.05 and 0.60±0.06;RI:3.10±0.52,2.87±0.51 and 2.53±0.40;PI,RI and S/D were statistically different among different gestational weeks,and showed a downward trend with the increase of gestational weeks.Conclusions:The umbilical cord placental circulation resistance of nor-mal pregnant women in plateau area(>3000 m)gradually decreases with the increase of gestational age,and the umbilical artery PI,RI and S/D in the third trimester are higher than those in plain area.

Ultrasonic DopplerFetal umbilical arteryPlateau areasLate pregnancy

李丹、尼玛玉珍

展开 >

西藏自治区人民医院超声科 西藏拉萨 850000

超声多普勒 胎儿脐动脉 高原地区 孕晚期

西藏自治区人民医院院内课题

XZQYY2020029

2024

西藏医药
西藏医学会

西藏医药

ISSN:1005-5177
年,卷(期):2024.45(2)