河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
8期
1373-1376
,共4页
黄祯%余玉华%陈丽珍%杨银广%李云峰
黃禎%餘玉華%陳麗珍%楊銀廣%李雲峰
황정%여옥화%진려진%양은엄%리운봉
妊娠期高血压%子宫动脉%超声多普勒
妊娠期高血壓%子宮動脈%超聲多普勒
임신기고혈압%자궁동맥%초성다보륵
Hypertensive disorders in pregnancy%Uterine artery%Doppler
目的：探讨子宫动脉超声多普勒血流监测在妊娠期高血压晚期应用价值。方法：选择2012年1月至2014年8月来我院就诊的92例晚期妊娠期高血压疾病患者与87例正常妊娠孕妇作为研究对象，其中晚期妊娠高血压患者为观察组，正常妊娠孕妇作为对照组，应用超声多普勒监测全部研究对象的子宫动脉血流动力学情况，测定血流动力学参数阻力指数（ RI）、搏动指数（ PI）、收缩－舒张流速比值（ S／D），以及记录是否出现舒张早期切迹，随访至所有研究对象妊娠结束，比较两组研究对象子宫动脉血流动力学差异情况，以及其妊娠结局的差异情况，其中包括平均孕周、新生儿体重、体重指数、早产率、剖宫产率以及胎儿窘迫的发生率；同时根据妊娠高血压疾病患者有无出现舒张早期切迹分为切迹组与无切迹组，比较两组患者妊娠结局的差异。结果：①观察组患者的阻力指数（RI），明显高于对照组，二者比较差异显著（ P＜0．05）；观察组患者的搏动指数（ PI）明显高于对照组，二者比较差异显著（ P＜0．05）；观察组患者的收缩－舒张流速比值（ S／D）明显高于对照组，二者比较差异显著（ P＜0．05）；观察组患者中舒张早期切迹发生率为42．39％，明显高于对照组的9．20％，二者比较差异显著（ P＜0．05）；②观察组患者的平均孕周明显少于对照组，二者比较差异显著（ P＜0．05）；观察组中新生儿体重明显低于对照组，二者比较差异显著（ P＜0．05）；观察组中体重指数明显高于对照组，二者比较差异显著（ P＜0．05）；观察组中的早产率、剖宫产率以及胎儿窘迫的发生率均明显高于对照组，二者比较差异显著（ P＜0．05）；③切迹组患者的平均孕周明显少于无切迹组，二者比较差异显著（ P＜0．05）；切迹组中新生儿体重明显低于无切迹组，二者比较差异显著（ P＜0．05）；切迹组中的羊水异常发生率、早产率、新生儿窒息发生率及胎儿窘迫的发生率均明显高于对照组，二者比较差异显著（ P＜0．05）。结论：妊娠晚期的子宫动脉舒张早期切迹在妊娠期高血压疾病的中具有应用价值，子宫动脉超声多普勒血流监测能够预测妊娠期高血压疾病围生期的并发症情况，值得临床应用。
目的：探討子宮動脈超聲多普勒血流鑑測在妊娠期高血壓晚期應用價值。方法：選擇2012年1月至2014年8月來我院就診的92例晚期妊娠期高血壓疾病患者與87例正常妊娠孕婦作為研究對象，其中晚期妊娠高血壓患者為觀察組，正常妊娠孕婦作為對照組，應用超聲多普勒鑑測全部研究對象的子宮動脈血流動力學情況，測定血流動力學參數阻力指數（ RI）、搏動指數（ PI）、收縮－舒張流速比值（ S／D），以及記錄是否齣現舒張早期切跡，隨訪至所有研究對象妊娠結束，比較兩組研究對象子宮動脈血流動力學差異情況，以及其妊娠結跼的差異情況，其中包括平均孕週、新生兒體重、體重指數、早產率、剖宮產率以及胎兒窘迫的髮生率；同時根據妊娠高血壓疾病患者有無齣現舒張早期切跡分為切跡組與無切跡組，比較兩組患者妊娠結跼的差異。結果：①觀察組患者的阻力指數（RI），明顯高于對照組，二者比較差異顯著（ P＜0．05）；觀察組患者的搏動指數（ PI）明顯高于對照組，二者比較差異顯著（ P＜0．05）；觀察組患者的收縮－舒張流速比值（ S／D）明顯高于對照組，二者比較差異顯著（ P＜0．05）；觀察組患者中舒張早期切跡髮生率為42．39％，明顯高于對照組的9．20％，二者比較差異顯著（ P＜0．05）；②觀察組患者的平均孕週明顯少于對照組，二者比較差異顯著（ P＜0．05）；觀察組中新生兒體重明顯低于對照組，二者比較差異顯著（ P＜0．05）；觀察組中體重指數明顯高于對照組，二者比較差異顯著（ P＜0．05）；觀察組中的早產率、剖宮產率以及胎兒窘迫的髮生率均明顯高于對照組，二者比較差異顯著（ P＜0．05）；③切跡組患者的平均孕週明顯少于無切跡組，二者比較差異顯著（ P＜0．05）；切跡組中新生兒體重明顯低于無切跡組，二者比較差異顯著（ P＜0．05）；切跡組中的羊水異常髮生率、早產率、新生兒窒息髮生率及胎兒窘迫的髮生率均明顯高于對照組，二者比較差異顯著（ P＜0．05）。結論：妊娠晚期的子宮動脈舒張早期切跡在妊娠期高血壓疾病的中具有應用價值，子宮動脈超聲多普勒血流鑑測能夠預測妊娠期高血壓疾病圍生期的併髮癥情況，值得臨床應用。
목적：탐토자궁동맥초성다보륵혈류감측재임신기고혈압만기응용개치。방법：선택2012년1월지2014년8월래아원취진적92례만기임신기고혈압질병환자여87례정상임신잉부작위연구대상，기중만기임신고혈압환자위관찰조，정상임신잉부작위대조조，응용초성다보륵감측전부연구대상적자궁동맥혈류동역학정황，측정혈류동역학삼수조력지수（ RI）、박동지수（ PI）、수축－서장류속비치（ S／D），이급기록시부출현서장조기절적，수방지소유연구대상임신결속，비교량조연구대상자궁동맥혈류동역학차이정황，이급기임신결국적차이정황，기중포괄평균잉주、신생인체중、체중지수、조산솔、부궁산솔이급태인군박적발생솔；동시근거임신고혈압질병환자유무출현서장조기절적분위절적조여무절적조，비교량조환자임신결국적차이。결과：①관찰조환자적조력지수（RI），명현고우대조조，이자비교차이현저（ P＜0．05）；관찰조환자적박동지수（ PI）명현고우대조조，이자비교차이현저（ P＜0．05）；관찰조환자적수축－서장류속비치（ S／D）명현고우대조조，이자비교차이현저（ P＜0．05）；관찰조환자중서장조기절적발생솔위42．39％，명현고우대조조적9．20％，이자비교차이현저（ P＜0．05）；②관찰조환자적평균잉주명현소우대조조，이자비교차이현저（ P＜0．05）；관찰조중신생인체중명현저우대조조，이자비교차이현저（ P＜0．05）；관찰조중체중지수명현고우대조조，이자비교차이현저（ P＜0．05）；관찰조중적조산솔、부궁산솔이급태인군박적발생솔균명현고우대조조，이자비교차이현저（ P＜0．05）；③절적조환자적평균잉주명현소우무절적조，이자비교차이현저（ P＜0．05）；절적조중신생인체중명현저우무절적조，이자비교차이현저（ P＜0．05）；절적조중적양수이상발생솔、조산솔、신생인질식발생솔급태인군박적발생솔균명현고우대조조，이자비교차이현저（ P＜0．05）。결론：임신만기적자궁동맥서장조기절적재임신기고혈압질병적중구유응용개치，자궁동맥초성다보륵혈류감측능구예측임신기고혈압질병위생기적병발증정황，치득림상응용。
Objective:To investigate the value of uterine artery doppler blood flow monitoring for late pregnancy induced hypertension.Method:92 cases with late pregnancy induced hypertension and 87 cases of normal pregnant women were selected in our hospital from January 2012 to August 2014 as studies, among them patients with hypertension in late pregnancy as the observation group, normal pregnant women as the control group, uterine artery hemodynamics situation of all studies were detected in Doppler, hemodynamic parameters measured resistance index ( RI) , pulsatility index ( PI) , systolic -diastolic velocity ratio ( S /D) , and recording whether had early diastolic notch, all subjects were followed up until the end of pregnan-cy, uterine artery hemodynamics discrepancy of two groups were compared, and their pregnancy outcome dis-crepancy, including the average gestational age, birth weight , body mass index, premature birth rate,cesar -ean section rate and the incidence of fetal distress, they were divided into groups with and without notch notch group according to the presence or absence of early diastolic notch, pregnancy outcomes of two groups were compared.Result:①Resistance index ( RI) of the observation group were , significantly higher than that in the control group, difference had statistically significant ( P<0.05);Pulsatility index ( PI) of the ob-servation group were , significantly higher than that in the control group, difference had statistically signifi-cant( P<0.05);Shrinkage -diastolic flow velocity ratio ( S /D) of the observation group were significantly higher than that in the control group, difference had statistically significant( P<0.05);The incidence of early diastolic notch of the observation group were 42.39%, significantly higher than that of 9.20%in the control group, difference had statistically significant(P<0.05); ② The average gestational age of the observation group were significantly lower than that of weeks in the control group, difference had statistically significant ( P<0.05);Birth weight of the observation group were significantly lower than that of in the control group, difference had statistically significant( P<0.05);BMI of the observation group were significantly higher than that in the control group, difference had statistically significant( P<0.05); The incidence of preterm birth rate, the cesarean section rate and fetal distress of the observation group were significantly higher than the control group, difference had statistically significant( P<0.05);③The average gestational age of notch group were significantly less than in the non-notch group, difference had statistically significant( P<0.05);Birth weight of notch group were significantly less than that in the non-notch group, difference had statistically sig-nificant( P<0.05);The incidence of abnormal amniotic fluid, premature birth, asphyxia incidence and inci-dence of fetal distress of notch group were significantly higher than the control group, difference had statisti-cally significant( P<0.05) .Conclusion:Uterine artery doppler blood flow monitoring for late pregnancy in-duced hypertension has application value,uterine artery doppler blood flow monitoring can predict complica -tions of hypertensive disorders in pregnancy perinatal period, worth application in clinical.
