摘要
目的分析基于主动脉峡部收缩指数及围产儿预后的妊娠期高血压患者彩超诊断价值。方法采用彩色多普勒超声技术,对院内收治的78例妊娠期高血压患者与50例正常孕妇进行检查,妊娠期高血压患者分别为妊娠期高血压与轻度子痫前期以及重度子痫前期三组,检测胎儿主动脉峡部收缩指数(ISI),病例组围产儿分为预后不良与预后良好两组,分析ISI值的变化情况。结果正常妊娠的胎儿主动脉峡部收缩期峰值流速(peak systolic velocity,PSV)会随着孕周的延长而不断增长,胎儿的NS与ISI会随着孕周的延长而有所下降,三组胎儿主动脉峡部各指标值对比差异显著。对照组PSV,NS,ISI与妊娠期高血压组对比并无明显差异;与轻度子痫前期组及重度子痫前期组对比明显较小。在不同预后围产儿相关指标上对比,预后良好组围产儿PSV为93.05±2.04,NS为-15.35±2.06,ISI为-0.162±0.02,预后不良组围产儿PSV为88.26±2.31,NS为-19.35±2.26,ISI为-0.212±0.01,组间对比差异显著。结论妊娠期高血压属于常见妊娠期并发症,一旦发生可威胁到孕妇的健康以及围产儿的安全,为此,需要尽早识别并做好干预。在诊断中,妊娠期高血压子痫前期患者胎儿的主动脉峡部收缩指数会出现明显变化,而此种变化与围产儿预后存在密切关联,可作为围产儿预后评估的参考指标。
Objective To analyze the value of color Doppler ultrasound in the diagnosis of gestational hypertension based on the systolic index of aortic isthmus and perinatal prognosis.Methods 78 patients with gestational hypertension and 50 normal pregnant women were examined by color Doppler ultrasound.The patients with gestational hypertension were divided into three groups gestational hypertension,mild preeclampsia and severe preeclampsia.The ISI of fetal aorta was measured.The perinatal infants in the case group were divided into two groups poor prognosis and good prognosis Change of ISI value.Results The peak systolic velocity(PSV)of fetal aortic isthmus in normal pregnancy increased with the progestin of gestational age,and the NS and ISI decreased with the progestin of gestational age.There was no significant difference in PSV,NS,ISI between the control group and the gestational hypertension group.The comparison between mild preeclampsia group and severe preeclampsia group was significantly smaller.The PSV of perinatal infants in the good prognosis group was 93.05±2.04,NS was-15.35±2.06,ISI was-0.162±0.02,and the PSV of perinatal infants in the poor prognosis group was 88.26±2.31,NS was-19.35±2.26,ISI was-0.212±0.01.Conclusion Pregnancy-induced hypertension is a common complication of pregnancy.Once it occurs,it can threaten the health of pregnant women and the safety of perinatal children.Therefore,it is necessary to identify and intervene as early as possible.In the diagnosis,the systolic index of the fetal isthmus of the aorta in the patients with preeclampsia during pr-egnancy will change significantly,which is closely related to the prognosis of the perinatal infants,and can be used as a reference index for the prognosis evaluation of the perinatal infants.
作者
孟国英
葛建芹
陈亚娟
郝梦华
王艳芬
张彦栋
窦桂珍
MENG Guoying;GE Jianqin;CHEN Yajuan;HAO Menghua;WANG Yanfen;ZHANG Yandong;DOU Guizhen(Department of Functional Medicine, Second Hospital of Xingtai City, Xingtai 054000, P.R.China;Department of Pediatrics, Staff Hospital of Xiandewang Branch of Jizhong Energy Xingtai Mining Group Co., Ltd., Xingtai 054000, P.R.China;Department of Obstetrics and Gynecology, Linxi County People's Hospital, Xingtai 054000, P.R.China)
出处
《医学影像学杂志》
2021年第5期850-853,共4页
Journal of Medical Imaging
基金
河北省邢台市科技计划项目(编号:2018ZC169)。
关键词
主动脉峡部收缩指数
围产儿
妊娠期高血压
彩色多普勒检查
Aortic isthmus contraction index
Perinatal
Hypertensive disorder complicating pregnancy
Color Doppler ultrasound diagnosis
