中华医学超声杂志（电子版）
中華醫學超聲雜誌（電子版）
중화의학초성잡지（전자판）
CHINESE JOURNAL OF MEDICAL ULTRASOUND(ELECTRONICAL VISION)
2012年
12期
1075-1078
,共4页
超声检查,多普勒,彩色%子宫动脉%高血压,妊娠性
超聲檢查,多普勒,綵色%子宮動脈%高血壓,妊娠性
초성검사,다보륵,채색%자궁동맥%고혈압,임신성
Ultrasonography,Doppler,color%Uterine artery%Hypertension,pregnancy-induced
目的探讨妊娠20~24周孕妇子宫动脉舒张早期切迹与妊娠期高血压病的相关性.方法选取969例妊娠20~24周正常单胎孕妇,应用彩色多普勒超声分别检测孕妇双侧子宫动脉频谱,依据子宫动脉频谱舒张早期有无切迹将随访至产后的798例孕妇分为有切迹组(81例)和无切迹组(717例).测量计算双侧子宫动脉舒张早期切迹指数(NI)平均值并依据NI平均值分级将798例孕妇分为4组.比较有切迹组与无切迹组以及有切迹组与NI平均值各分级组妊娠期高血压病的发生率.结果(1)有切迹组(81例)孕妇妊娠期高血压病发生率(21/81,25.9%)比无切迹组(717例)明显增加(35/717,4.9%),差异有统计学意义(χ2=49.396,P=0.000).(2)有切迹组(81例)孕妇妊娠期高血压病发生率(21例,25.9%)明显高于NI 1级组(36/719,5.0%),差异有统计学意义(χ2=48.142,P=0.000);高于NI 2级组(6/44,13.6%),差异无统计学意义(χ2=2.543,P=0.111);低于NI 3级组(8/27,29.6%),差异无统计学意义(χ2=0.141,P =0.707);明显低于 NI 4级组(6/8,75.0%),差异有统计学意义(χ2=8.297,P=0.004).结论子宫动脉NI平均值分级方法能够较好地评估妊娠期高血压病.
目的探討妊娠20~24週孕婦子宮動脈舒張早期切跡與妊娠期高血壓病的相關性.方法選取969例妊娠20~24週正常單胎孕婦,應用綵色多普勒超聲分彆檢測孕婦雙側子宮動脈頻譜,依據子宮動脈頻譜舒張早期有無切跡將隨訪至產後的798例孕婦分為有切跡組(81例)和無切跡組(717例).測量計算雙側子宮動脈舒張早期切跡指數(NI)平均值併依據NI平均值分級將798例孕婦分為4組.比較有切跡組與無切跡組以及有切跡組與NI平均值各分級組妊娠期高血壓病的髮生率.結果(1)有切跡組(81例)孕婦妊娠期高血壓病髮生率(21/81,25.9%)比無切跡組(717例)明顯增加(35/717,4.9%),差異有統計學意義(χ2=49.396,P=0.000).(2)有切跡組(81例)孕婦妊娠期高血壓病髮生率(21例,25.9%)明顯高于NI 1級組(36/719,5.0%),差異有統計學意義(χ2=48.142,P=0.000);高于NI 2級組(6/44,13.6%),差異無統計學意義(χ2=2.543,P=0.111);低于NI 3級組(8/27,29.6%),差異無統計學意義(χ2=0.141,P =0.707);明顯低于 NI 4級組(6/8,75.0%),差異有統計學意義(χ2=8.297,P=0.004).結論子宮動脈NI平均值分級方法能夠較好地評估妊娠期高血壓病.
목적탐토임신20~24주잉부자궁동맥서장조기절적여임신기고혈압병적상관성.방법선취969례임신20~24주정상단태잉부,응용채색다보륵초성분별검측잉부쌍측자궁동맥빈보,의거자궁동맥빈보서장조기유무절적장수방지산후적798례잉부분위유절적조(81례)화무절적조(717례).측량계산쌍측자궁동맥서장조기절적지수(NI)평균치병의거NI평균치분급장798례잉부분위4조.비교유절적조여무절적조이급유절적조여NI평균치각분급조임신기고혈압병적발생솔.결과(1)유절적조(81례)잉부임신기고혈압병발생솔(21/81,25.9%)비무절적조(717례)명현증가(35/717,4.9%),차이유통계학의의(χ2=49.396,P=0.000).(2)유절적조(81례)잉부임신기고혈압병발생솔(21례,25.9%)명현고우NI 1급조(36/719,5.0%),차이유통계학의의(χ2=48.142,P=0.000);고우NI 2급조(6/44,13.6%),차이무통계학의의(χ2=2.543,P=0.111);저우NI 3급조(8/27,29.6%),차이무통계학의의(χ2=0.141,P =0.707);명현저우 NI 4급조(6/8,75.0%),차이유통계학의의(χ2=8.297,P=0.004).결론자궁동맥NI평균치분급방법능구교호지평고임신기고혈압병.
Objective To investigate the relationship between early diastolic notch of uterine artery and hypertensive disorders in pregnancy at 20-24 weeks of gestation.Methods Color Doppler ultrasound was used to detect the spectrum of bilateral uterine artery in 969 pregnant women at 20-24 weeks of gestation.According to whether the notch of uterine artery was present or not ,798 pregnant women followeed up till childbirth were divided into two groups:notch group (81 cases) and non-notch group (717 cases). The average of notch index (NI) of bilateral uterine arteries was calculated .Then bases on the level of NI, 798 pregnant women were classified into four groups .The incidence of hypertensive disorders in pregnancy was compared among these groups .Results (1)The incidence(21/81,25.9%)of hypertensive disorders in pregnancy in notch group was significantly higher than that in non-notch group(35/717,4.9%) (χ2 =49.396, P=0.000).(2) The incidence of hypertensive disorders in pregnancy in notch group (21/81,25.9%) was higher than that in NI 1 (36/719,5.0%;χ2 =48.142,P=0.000) and NI 2 group (6/44,13.6%;χ2 =2.543,P=0.111),while was lower than NI 3 (8/27,29.6%;χ2 =0.141,P=0.707) and NI 4 group(6/8, 75.0%;χ2 =8.297,P =0.004).Conclusion The method of uterine artery NI classification can well predict the incidence of hypertensive disorders in pregnancy .
