首页|彩色多普勒血流成像联合胎心监护无负荷试验在孕晚期高危产妇胎儿宫内窘迫诊断中的效能

彩色多普勒血流成像联合胎心监护无负荷试验在孕晚期高危产妇胎儿宫内窘迫诊断中的效能

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目的:探讨彩色多普勒血流成像(CDFI)联合胎心监护无负荷试验(NST)在孕晚期高危产妇胎儿宫内窘迫诊断中的效能.方法:回顾性分析2020年8月至2022年8月该院收治的108名孕晚期高危产妇的临床资料,入院后均行CDFI、NST检查,以产后结果为"金标准",统计CDFI、NST单项及联合检查诊断孕晚期高危产妇发生胎儿宫内窘迫的结果,比较CDFI、NST单项及联合检查诊断孕晚期高危产妇发生胎儿宫内窘迫的效能.结果:产后结果显示,108 名孕晚期高危产妇中,39 名发生产前胎儿宫内窘迫;CDFI检查结果显示,25名发生产前胎儿宫内窘迫;NST检查结果显示,24名发生产前胎儿宫内窘迫;CDFI联合NST检查结果显示,38名发生产前胎儿宫内窘迫;CDFI、NST检查诊断孕晚期高危产妇发生胎儿宫内窘迫的灵敏度、特异度、准确度、漏诊率、误诊率、阳性预测值、阴性预测值比较,差异均无统计学意义(P>0.05);CDFI联合NST检查诊断孕晚期高危产妇发生胎儿宫内窘迫的灵敏度、准确度均高于二者单项检查,漏诊率低于二者单项检查,差异有统计学意义(P<0.05).结论:CDFI联合NST检查诊断孕晚期高危产妇发生胎儿宫内窘迫的效能高于二者单项检查.
Efficiency of color Doppler flow imaging combined with fetal heart rate monitoring non-stress test in diagnosis of fetal intrauterine distress in high-risk pregnant women in late pregnancy
Objective:To investigate efficiency of color Doppler flow imaging(CDFI)combined with fetal heart rate monitoring non-stress test(NST)in diagnosis of fetal intrauterine distress in high-risk pregnant women in late pregnancy.Methods:The clinical data of 108 high-risk pregnant women in late pregnancy admitted to the hospital from August 2020 to August 2022 were retrospectively selected.CDFI and NST were performed after admission.Using the postpartum results as the'gold standard',the results of CDFI,NST single and combined examination in the diagnosis of fetal intrauterine distress in high-risk pregnant women in late pregnancy were statistically analyzed.The efficiencies of single and combined examination of CDFI and NST in the diagnosis of fetal intrauterine distress in the high-risk pregnant women in late pregnancy were compared.Results:the postpartum results showed that among the108 high-risk pregnant women in late pregnancy,39 cases occurred fetal intrauterine distress before delivery;CDFI examination result showed that there were 25 cases occurred fetal intrauterine distress;NST examination showed that there were 24 case occurred fetal intrauterine distress;and CDFI combined with NST examination showed that there were 38 cases occurred fetal intrauterine distress.There were no significant differences in the sensitivity,specificity,accuracy,missed diagnosis rate,misdiagnosis rate,positive predictive value and negative predictive value of CDFI and NST examination in the diagnosis of fetal intrauterine distress in the high-risk pregnant women in late pregnancy(P>0.05).The sensitivity and accuracy of CDFI combined with NST examination in the diagnosis of fetal intrauterine distress in the high-risk pregnant women in late pregnancy were higher than those of the two single examinations,the missed diagnosis rate was lower than that of the two single examinations,and the differences were statistically significant(P<0.05).Conclusions:The efficiency of CDFI combined with NST examination in the diagnosis of fetal intrauterine distress in the high-risk pregnant women in late pregnancy is higher than that of single examination.

Color Doppler flow imagingFetal heart rate monitoring non-stress testLate pregnancyFetal intrauterine distressDiagnosisEfficiency

陈亚君

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许昌医院超声科,河南 许昌 461000

彩色多普勒血流显像 胎心监护无负荷试验 孕晚期 胎儿宫内窘迫 诊断 效能

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(5)
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