中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
14期
38-40
,共3页
胎儿宫内生长迟缓%脐动脉血流频谱变化%监测
胎兒宮內生長遲緩%臍動脈血流頻譜變化%鑑測
태인궁내생장지완%제동맥혈류빈보변화%감측
Intrauterine growth retardation%Changes of umbilical artery blood flow spectrum%Monitoring
目的：探讨脐动脉血流频谱变化监测应用于胎儿宫内生长迟缓的诊断价值。方法：选取2011年2月1日-2014年2月1日在本院接受治疗的52例胎儿宫内生长迟缓患者作为观察组，选择同期在本院分娩的52例正常妊娠妇女作为对照组，两组均接受彩色多普勒监测，对比两组的监测结果。结果：随着孕周的不断增加，两组脐动脉舒张末期峰值血流速度、时间平均血流速度、收缩期峰值血流速度呈现不断上升的趋势，但观察组舒张末期峰值血流速度低于对照组。两组阻力指数、搏动指数、收缩与舒张之比呈现不断下降的趋势，但观察组的阻力指数、搏动指数、收缩与舒张之比高于对照组，差异有统计学意义（P<0.05）。胎儿宫内生长迟缓患者中，治疗无效1例，有效9例，显效42例，观察组的有效率达到98.08%。对照组满意度高达96.15%，观察组高达98.08%。两组满意度比较差异无统计学意义（P>0.05）。结论：早期监测脐动脉血流频谱变化，有利于及早发现脐动脉血流频谱异常，为临床治疗提供可靠的治疗依据。
目的：探討臍動脈血流頻譜變化鑑測應用于胎兒宮內生長遲緩的診斷價值。方法：選取2011年2月1日-2014年2月1日在本院接受治療的52例胎兒宮內生長遲緩患者作為觀察組，選擇同期在本院分娩的52例正常妊娠婦女作為對照組，兩組均接受綵色多普勒鑑測，對比兩組的鑑測結果。結果：隨著孕週的不斷增加，兩組臍動脈舒張末期峰值血流速度、時間平均血流速度、收縮期峰值血流速度呈現不斷上升的趨勢，但觀察組舒張末期峰值血流速度低于對照組。兩組阻力指數、搏動指數、收縮與舒張之比呈現不斷下降的趨勢，但觀察組的阻力指數、搏動指數、收縮與舒張之比高于對照組，差異有統計學意義（P<0.05）。胎兒宮內生長遲緩患者中，治療無效1例，有效9例，顯效42例，觀察組的有效率達到98.08%。對照組滿意度高達96.15%，觀察組高達98.08%。兩組滿意度比較差異無統計學意義（P>0.05）。結論：早期鑑測臍動脈血流頻譜變化，有利于及早髮現臍動脈血流頻譜異常，為臨床治療提供可靠的治療依據。
목적：탐토제동맥혈류빈보변화감측응용우태인궁내생장지완적진단개치。방법：선취2011년2월1일-2014년2월1일재본원접수치료적52례태인궁내생장지완환자작위관찰조，선택동기재본원분면적52례정상임신부녀작위대조조，량조균접수채색다보륵감측，대비량조적감측결과。결과：수착잉주적불단증가，량조제동맥서장말기봉치혈류속도、시간평균혈류속도、수축기봉치혈류속도정현불단상승적추세，단관찰조서장말기봉치혈류속도저우대조조。량조조력지수、박동지수、수축여서장지비정현불단하강적추세，단관찰조적조력지수、박동지수、수축여서장지비고우대조조，차이유통계학의의（P<0.05）。태인궁내생장지완환자중，치료무효1례，유효9례，현효42례，관찰조적유효솔체도98.08%。대조조만의도고체96.15%，관찰조고체98.08%。량조만의도비교차이무통계학의의（P>0.05）。결론：조기감측제동맥혈류빈보변화，유리우급조발현제동맥혈류빈보이상，위림상치료제공가고적치료의거。
Objective:To focus on exploring the value of monitoring the changes of umbilical artery blood flow spectrum for diagnosis of intrauterine growth retardation.Method:52 patients with intrauterine growth retardation who received treatment in our hospital from February 1st,2011 to February 1st, 2014 were chosen as the observation group.At the same time, 52 pregnant women with normal pregnancy were chosen as the control group.The two groups of pregnant women were under the monitoring of color Doppler.The monitoring results of the two groups were compared at last. Result:As the gestational weeks increased, the end diastolic velocity EDV), peak diastolic velocity (PDV), mean flow velocity(MFV) and peak systolic velocity (PSV) of umbilical artery of the two groups showed rising trend.However, the EDV and PDV of the observation group were much lower than that of control group.The resistance index(RI),pulsatility index (PI) and ratio of systolic and diastolic(S/D ratio) of the two groups showed a decreasing trend.The RI,PI and S/D ratio of the observation group were still higher than that of the control group.Changes of umbilical artery hemodynamics of pregnant women in the two groups were significantly different(P<0.05).Conclusion:The early monitoring of changes of umbilical artery blood flow spectrum is helpful to discover the abnormity of umbilical artery blood flow spectrum, which provides reliable basis for the clinical treatment.
