蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
6期
781-783,784
,共4页
妊娠%子宫动脉%超声
妊娠%子宮動脈%超聲
임신%자궁동맥%초성
pregnancy%high-frequency%ultrasonic
目的：：研究子宫动脉高频超声多普勒血流检测对于高危妊娠晚期患者的临床价值。方法：选取120例高危妊娠晚期患者作为观察组,另取100例正常妊娠妇女作为对照组。比较2组产妇的收缩期峰值流速/舒张末期流速( S/D)、子宫动脉评分、搏动指数( PI)及阻力指数( RI)等动脉血流动力参数指标；建立各血流指数的ROC 曲线,记录并比较观察组中不同S/D值的产妇其胎儿产出后的体质量、生长受限及窒息的比例。结果：观察组的S/D值为2.93±1.04,PI 0.73±0.19,RI 1.39±0.82,三者均明显高于对照组的2.21±0.29、0.54±0.12、1.08±0.37(P<0.01)；观察组中S/D值≥2.8的产妇产后胎儿体质量(3192±204)g,明显低于S/D值<2.8的产妇产后胎儿体质量(3327±284)g(P<0.01)；S/D值≥2.8的产妇产后胎儿生长受限率68.12%、窒息率42.03%,均明显高于 S/D值<2.8的产妇产后胎儿生长受限率19.61%、窒息率13.73%( P<0.01)；早产、小于胎龄儿与剖宫产的PI、RI、SD参数在ROC曲线下面积均逐渐减少。结论：子宫动脉高频超声多普勒可监测高危妊娠晚期患者的动脉血流动力参数异常,根据S/D值判定患者病情的严重程度,具有一定的临床应用价值。
目的：：研究子宮動脈高頻超聲多普勒血流檢測對于高危妊娠晚期患者的臨床價值。方法：選取120例高危妊娠晚期患者作為觀察組,另取100例正常妊娠婦女作為對照組。比較2組產婦的收縮期峰值流速/舒張末期流速( S/D)、子宮動脈評分、搏動指數( PI)及阻力指數( RI)等動脈血流動力參數指標；建立各血流指數的ROC 麯線,記錄併比較觀察組中不同S/D值的產婦其胎兒產齣後的體質量、生長受限及窒息的比例。結果：觀察組的S/D值為2.93±1.04,PI 0.73±0.19,RI 1.39±0.82,三者均明顯高于對照組的2.21±0.29、0.54±0.12、1.08±0.37(P<0.01)；觀察組中S/D值≥2.8的產婦產後胎兒體質量(3192±204)g,明顯低于S/D值<2.8的產婦產後胎兒體質量(3327±284)g(P<0.01)；S/D值≥2.8的產婦產後胎兒生長受限率68.12%、窒息率42.03%,均明顯高于 S/D值<2.8的產婦產後胎兒生長受限率19.61%、窒息率13.73%( P<0.01)；早產、小于胎齡兒與剖宮產的PI、RI、SD參數在ROC麯線下麵積均逐漸減少。結論：子宮動脈高頻超聲多普勒可鑑測高危妊娠晚期患者的動脈血流動力參數異常,根據S/D值判定患者病情的嚴重程度,具有一定的臨床應用價值。
목적：：연구자궁동맥고빈초성다보륵혈류검측대우고위임신만기환자적림상개치。방법：선취120례고위임신만기환자작위관찰조,령취100례정상임신부녀작위대조조。비교2조산부적수축기봉치류속/서장말기류속( S/D)、자궁동맥평분、박동지수( PI)급조력지수( RI)등동맥혈류동력삼수지표；건립각혈류지수적ROC 곡선,기록병비교관찰조중불동S/D치적산부기태인산출후적체질량、생장수한급질식적비례。결과：관찰조적S/D치위2.93±1.04,PI 0.73±0.19,RI 1.39±0.82,삼자균명현고우대조조적2.21±0.29、0.54±0.12、1.08±0.37(P<0.01)；관찰조중S/D치≥2.8적산부산후태인체질량(3192±204)g,명현저우S/D치<2.8적산부산후태인체질량(3327±284)g(P<0.01)；S/D치≥2.8적산부산후태인생장수한솔68.12%、질식솔42.03%,균명현고우 S/D치<2.8적산부산후태인생장수한솔19.61%、질식솔13.73%( P<0.01)；조산、소우태령인여부궁산적PI、RI、SD삼수재ROC곡선하면적균축점감소。결론：자궁동맥고빈초성다보륵가감측고위임신만기환자적동맥혈류동력삼수이상,근거S/D치판정환자병정적엄중정도,구유일정적림상응용개치。
Objective:To investigate the clinical value of the uterine artery blood flow detected by Doppler ultrasound in predicting the high-risk pregnancy outcome. Methods:One hundred and twenty high-risk pregnancy patients and 100 normal pregnant women were divided into the observation group and control group,respectively. The peak systolic velocity/end diastolic velocity( S/D) ,uterine artery score,pulsatility index(PI) and resistance index(RI) between two groups were analyzed,and the ROC curve were established. The different S/D values of maternity,and the weight,growth restriction and proportion of suffocation of newborn in observation group were recorded. Results:The S/D value,PI and RI in observation group(2. 93 ± 1. 04,0. 73 ± 0. 19 and 1. 39 ± 0. 82) were significantly higher than those in control group(2. 21 ± 0. 29,0. 54 ± 0. 12 and 1. 08 ± 0. 37),respectively(P<0. 01). In observation group,the newborn weight in puerperal with S/D value≥2. 8(3 192 ± 204)g was significantly lower than that in puerperal with S/D value<2. 8 (3 327 ±284 )g(P<0. 01). In observation group,the growth restriction and asphyxia rates of newborn in puerperal with S/D value≥2.8(68.12% and 42.03%) were significantly higher than those in puerperal with S/D value <2.8(19.61% and 13.73%), respectively(P<0. 01). The premature,SGA,PI,RI,SD and area under the ROC curve were gradually decreased in observation group. Conclusions:The high-frequency ultrasonic doppler of uterine artery can detect the hemodynamic parameters in high-risk pregnancy. The patient's condition can be determined by S/D value,which has certain clinic value.
