CAJ | 학술논문

目的：探讨彩色多普勒超声监测对妊娠期高血压疾病的意义。方法观察我院收治的妊娠期高血压疾病孕妇45例（疾病组）及正常孕晚期孕妇475例（正常组）彩色多普勒超声子宫螺旋动脉血流频谱，并对搏动指数（ PI）、阻力指数（ RI）及收缩期最大血流速度与舒张末期血流速度比（ S/D）进行比较。结果正常组彩色多普勒超声子宫螺旋动脉血流频谱，收缩期上升缓慢，舒张期下降缓慢且持续存在，收缩期及舒张期均为低流速，呈“低阻型”， PI、RI及 S/D在正常范围；疾病组彩色多普勒超声子宫螺旋动脉血流频谱，收缩期上升曲线陡直，下降曲线稍缓慢， PI、RI及S/D较正常组高，两组比较差异均有统计学意义（P﹤0.05）。结论应用彩色多普勒超声监测子宫螺旋动脉可为妊娠期高血压疾病患者临床诊断及治疗提供可靠依据。
목적：탐토채색다보륵초성감측대임신기고혈압질병적의의。방법관찰아원수치적임신기고혈압질병잉부45례（질병조）급정상잉만기잉부475례（정상조）채색다보륵초성자궁라선동맥혈류빈보，병대박동지수（ PI）、조력지수（ RI）급수축기최대혈류속도여서장말기혈류속도비（ S/D）진행비교。결과정상조채색다보륵초성자궁라선동맥혈류빈보，수축기상승완만，서장기하강완만차지속존재，수축기급서장기균위저류속，정“저조형”， PI、RI급 S/D재정상범위；질병조채색다보륵초성자궁라선동맥혈류빈보，수축기상승곡선두직，하강곡선초완만， PI、RI급S/D교정상조고，량조비교차이균유통계학의의（P﹤0.05）。결론응용채색다보륵초성감측자궁라선동맥가위임신기고혈압질병환자림상진단급치료제공가고의거。
Objective To explore the significance of color doppler ultrasound in monitoring of hypertensive diseases during gestation period. Methods Pulsation indexes( PI)of late pregnant uterine spiral arteries of 45 pregnant women( dis-eased group)with hypertensive diseases during gestation period and 475 normal late-gestation women( normal group)were de-tected by color Doppler ultrasound,and values of pulsatility index( PI),resistance index( RI)and systolic blood flow veloci-ty and the largest end-diastolic velocity ratio( S/D)were compared. Results Uterine spiral artery PI in normal group slowly rose in systole period and slowly lowered in relaxing period with continuing existence,low flow rate existed in systole and rela-xing period with low resistance type,and the values of PI,RI and S/D were normal;uterine spiral artery PI in normal group quickly rose in systole period and quickly dropped in relaxing period,and the values of PI,RI and S/D were higher than those in normal group,and the differences in the two groups were statistically significant(P ﹤0. 05). Conclusion Color Doppler ultrasound in monitoring of uterine spiral arteries in patients with gestational hypertension disease may provide reliable evi-dence for clinical diagnosis and treatment.