首页|超声测量下腔静脉变异度和子宫动脉血流评价妊娠期高血压患者右心功能的意义

超声测量下腔静脉变异度和子宫动脉血流评价妊娠期高血压患者右心功能的意义

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目的 探讨超声测量下腔静脉变异度和子宫动脉血流评价妊娠期高血压患者右心功能的意义。方法 选取2021年3月-2022年11月东凤人民医院收治的80例孕晚期妊娠期高血压孕妇作为观察对象,纳入观察组,另选取同时期来院产检的80例孕晚期健康孕妇作对照,纳入对照组。采用多普勒超声测量下腔静脉内径变异度与子宫动脉血流频谱[包括搏动指数(PI)、阻力指数(RI)、收缩期峰值流速/舒张末期流速比值(S/D)]。对比两组患者上述指标差异并进行分析。结果 观察组患者RSBI指标高于对照组,而diVC指标低于对照组,差异均有统计学意义(P<0。05)。观察组患者PI、RI、S/D指标均高于对照组患者,差异均有统计学意义(P<0。05)。结论 超声测量能够客观、定量评价妊娠期妇女下腔静脉变异度和子宫动脉血流动力学参数。孕晚期妊娠期高血压孕妇与孕晚期健康孕妇下腔静脉变异度、子宫动脉血流动力学指标的差异,能够为临床提供诊断依据,使临床医生更加重视妊娠高血压患者的右心功能,从而达到改善母婴健康的目的。
Significance of Inferior Vena Cava Variability and Uterine Artery Blood Flow Measured by Ultrasound in Evaluating Right Ventricular Function of Patients with Gestational Hypertension
Objective To explore significance of inferior vena cava variability and uterine artery blood flow measureed ultrasound in evaluating right ventricular function of patients with gestational hypertension.Methods The paper chose 80 pregnant women with late pregnancy induced hypertension in Dongfeng People's Hospital from March 2021 to November 2022 as observation subjects in observation group,and 80 healthy pregnant women in late pregnancy with prenatal examinations at the same time in control group.Variation of inferior vena cava diameter and uterine artery blood flow spectrum was measured by Doppler ultrasound,including pulsatile index(PI),resistance index(RI)and systolic peak flow velocity/end diastolic flow velocity ratio(S/D).Difference in above indicators was was compared and analyzed between two groups.Results RSBI index of observation group was higher than control group,while dIVC index was lower than control group.Difference in two indicators between two groups was statistically significant,(P<0.05).The PI,RI,and S/D indicators of observation group were higher than control group,and difference was statistically significant(P<0.05).Conclusion Ultrasound measurement can evaluate degree of inferior vena cava variability and uterine artery hemodynamic parameters of pregnant women objectively and quantitatively.Difference in inferior vena cava variability and uterine artery hemodynamic indicators between pregnant women with gestational hypertension in late pregnancy and healthy pregnant women in late pregnancy can provide diagnostic basis for clinical practice,help clinicians pay more attention to right ventricular function of patients with gestational hypertension,and achieve goal of improving maternal and infant health.

Doppler ultrasoundInferior vena cavaUterine arteryHemodynamicsRight ventricular function

梁宁珠

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中山市东凤人民医院超声科,广东 中山 528425

多普勒超声 下腔静脉 子宫动脉 血流动力学 右心功能

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(13)