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孕中期眼动脉B/A值和子宫动脉S/D值预测PE价值

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目的:分析眼动脉收缩期第二与第一峰值血流速度比(B/A)值和子宫动脉收缩期、舒张期流速比(S/D)值对子痫前期(PE)的预测价值.方法:回顾性收集2021年1月—2023年2月本院产前检查并分娩孕妇,根据结果分为PE组(PE孕妇,n=41)与对照组(健康孕妇,n=162),于孕15~20周测量孕妇眼动脉B/A值以及子宫动脉S/D值,并绘制受试者工作特征(ROC)曲线分析两项指标对PE的预测价值.结果:PE组围产儿死亡率、新生儿转新生儿重症监护室率以及孕妇并发症发生率均高于对照组,眼动脉B/A值(0.71±0.15)与子宫动脉S/D值(3.27±0.76)均高于对照组(0.49±0.11、1.99±0.53)(均P<0.05).眼动脉B/A值与子宫动脉S/D值预测PE的效能分别为曲线下面积值0.945、0.875,敏感度87.8%、78.1%,特异度93.2%、89.5%(P>0.05).结论:PE孕妇妊娠15~20周测量眼动脉B/A值与子宫动脉S/D值均异常高于健康孕妇,二者预测PE均有良好效能,可应用于临床.
Value of the second to the first peak blood flow velocity ratio of the ophthalmic artery and the systolic to diastolic velocity ratio of the uterine artery of pregnant women during the second trimester of pregnancy for predicting their preeclampsia
Objective:To analyze the value of the second to the first peak blood flow velocity(B/A)ratio of the oph-thalmic artery and the systolic to diastolic velocity(S/D)ratio of the uterine artery of pregnant women during the sec-ond trimester of pregnancy for predicting their preeclampsia(PE).Methods:203 pregnant women who had received prenatal examinations and had delivery in hospital from January 2021 to February 2023 were collected retrospectively.Based on the PE occurrence or not,these women were divided into study group(41 women with PE)and control group(162 women with normal pregnancy).The B/A ratio of the ophthalmic artery and the S/D ratio of the uterine artery of the women in both groups were measured during 15-20 gestational weeks.Receiver operating characteristic(ROC)curve was drawn to analyze the predictive value of the B/A ratio and the S/D ratio of the pregnant women for their PE occurrence.Results:The rates of the perinatal mortality,the neonatal intensive care unit transfer and the maternal complications of the women in the study group were significantly higher than those of the women in the control group.The B/A ratio of ophthalmic artery(0.71±0.15)and the S/D ratio of uterine artery(3.27±0.76)of the women in the study group were significantly higher those(0.49±0.11 and 1.99±0.53)of the women in the control group(all P<0.05).The area under the curve of the B/A ratio of ophthalmic artery and the S/D ratio of uterine artery of the preg-nant women for their PE occurrence were 0.945 and 0.875,the sensitivity of which were 87.8%and 78.1%,and the specificity of which were93.2%and 89.5%(P>0.05).Conclusion:Both the B/A ratio of the ophthalmic artery and the S/D ratio of the uterine artery of the pregnant women with PE during 15-20 gestational weeks are higher than those of the normal pregnant women,and both have better predictive efficacy for the PE occurrence of the pregnant women,and which can be applied in clinical practice.

PreeclampsiaThe second trimester of pregnancyOphthalmic arteryUterine arteryPrediction

温凤云、牟莎莎、刘春花

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青岛市胶州中心医院(266300)

子痫前期 妊娠中期 眼动脉 子宫动脉 预测

青岛市市级临床重点专科妇产科专科项目(2022-2024)

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(3)
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