蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
5期
606-608,611
,共4页
妊娠并发症%妊娠期高血压疾病%多普勒超声%子宫动脉%舒张早期切迹
妊娠併髮癥%妊娠期高血壓疾病%多普勒超聲%子宮動脈%舒張早期切跡
임신병발증%임신기고혈압질병%다보륵초성%자궁동맥%서장조기절적
pregnancy complication%hypertensive disorder complicating pregnancy%doppler ultrasound%uterine artery%early diastolic notch
目的：：探讨子宫动脉舒张早期切迹指数对妊娠期高血压疾病( PIH)发生的预测价值。方法：选取产前检查并分娩的正常单胎孕妇204例,使用彩色多普勒超声检测2侧子宫动脉,根据有无子宫动脉舒张早期切迹分为有切迹组(21例)和无切迹组(183例),计算切迹指数(NI),量化分为4级,比较各级PIH的发生率及妊娠结局。结果：204例孕妇中188例妊娠期间血压正常,16例发展为PIH。有切迹组孕妇PIH发生率为28.6%,无切迹组为5.5%,差异有统计学意义(P<0.01)。 NI 1级组PIH发生率为5.4%,NI 2级组为10.0%,NI 3级组为2/6,NI 4级组为3/4；NI 4级孕妇PIH的发生率均高于NI 1级组和NI 2级组(P<0.01)。 NI 4级组孕妇剖宫产率、NI 3级组和NI 4级组新生儿1 min Apgar评分<7分发生率均高于NI 1级组(P<0.05~P<0.01),而NI 3和NI 4级组胎盘质量与NI 2~4级组新生儿体质量均低于NI 1级组(P<0.05~P<0.01)。结论：子宫动脉舒张早期切迹对预测PIH发生有很高的临床指导价值,NI分级法能更好地评估PIH,值得临床推广。
目的：：探討子宮動脈舒張早期切跡指數對妊娠期高血壓疾病( PIH)髮生的預測價值。方法：選取產前檢查併分娩的正常單胎孕婦204例,使用綵色多普勒超聲檢測2側子宮動脈,根據有無子宮動脈舒張早期切跡分為有切跡組(21例)和無切跡組(183例),計算切跡指數(NI),量化分為4級,比較各級PIH的髮生率及妊娠結跼。結果：204例孕婦中188例妊娠期間血壓正常,16例髮展為PIH。有切跡組孕婦PIH髮生率為28.6%,無切跡組為5.5%,差異有統計學意義(P<0.01)。 NI 1級組PIH髮生率為5.4%,NI 2級組為10.0%,NI 3級組為2/6,NI 4級組為3/4；NI 4級孕婦PIH的髮生率均高于NI 1級組和NI 2級組(P<0.01)。 NI 4級組孕婦剖宮產率、NI 3級組和NI 4級組新生兒1 min Apgar評分<7分髮生率均高于NI 1級組(P<0.05~P<0.01),而NI 3和NI 4級組胎盤質量與NI 2~4級組新生兒體質量均低于NI 1級組(P<0.05~P<0.01)。結論：子宮動脈舒張早期切跡對預測PIH髮生有很高的臨床指導價值,NI分級法能更好地評估PIH,值得臨床推廣。
목적：：탐토자궁동맥서장조기절적지수대임신기고혈압질병( PIH)발생적예측개치。방법：선취산전검사병분면적정상단태잉부204례,사용채색다보륵초성검측2측자궁동맥,근거유무자궁동맥서장조기절적분위유절적조(21례)화무절적조(183례),계산절적지수(NI),양화분위4급,비교각급PIH적발생솔급임신결국。결과：204례잉부중188례임신기간혈압정상,16례발전위PIH。유절적조잉부PIH발생솔위28.6%,무절적조위5.5%,차이유통계학의의(P<0.01)。 NI 1급조PIH발생솔위5.4%,NI 2급조위10.0%,NI 3급조위2/6,NI 4급조위3/4；NI 4급잉부PIH적발생솔균고우NI 1급조화NI 2급조(P<0.01)。 NI 4급조잉부부궁산솔、NI 3급조화NI 4급조신생인1 min Apgar평분<7분발생솔균고우NI 1급조(P<0.05~P<0.01),이NI 3화NI 4급조태반질량여NI 2~4급조신생인체질량균저우NI 1급조(P<0.05~P<0.01)。결론：자궁동맥서장조기절적대예측PIH발생유흔고적림상지도개치,NI분급법능경호지평고PIH,치득림상추엄。
Objective:To explore the value of the early diastolic notch index of uterine artery in predicting hypertensive disorders complicating pregnancy( PIH) . Methods:The bilateral uterine arteries in 204 single fetal pregnant women with normal delivery were detected using color doppler ultrasound. The women were divided into the notch group(21 cases) and non-notch group(183 cases) according to the notch in early diastolic uterine artery. The notch index(NI) in all cases were calculated,which was divided into 4 grades. The incidence of PIH and pregnancy outcome of each grade were compared. Results:Among 204 pregnant women,normal blood pressure in 188 cases and developing to PIH in 16 cases were found. The incidences of PIH in notch group and non-notch group were 28. 6% and 5. 5%,respectively,the difference of which was statistically significant(P<0. 01). The incidences of PIH in NI 1 grade,NI 2 grade,NI 3 grade and NI 4 grade women were 5. 4%,10. 0%,2/6 and 3/4,respectively. The incidence of PIH in NI 4 grade women was higher than that in NI 1 grade and NI 2 grade women(P<0. 01). The cesarean section rate in NI 4 group and incidence of neonatal 1 min Apgar score less than 7 in NI 3 and NI 4 group were higher than those in NI 1 group(P<0. 05 to P<0. 01). The placental weight of NI 3 and NI 4 group and newborn body quality in NI 2,3 and 4 group were lower than those in NI 1 group(P<0. 05 to P<0. 01). Conclusions:Early diastolic notch of uterine artery has high clinical value in predicting PIH. The classification of NI can well evaluate the incidence of PIH,which is worthy to be popularized.
