摘要
目的:针对彩色多普勒超声检测脐带螺旋指数(UCI)指数对围产儿结局的影响进行探讨,从而为临床预估胎儿分娩风险提供帮助。方法:2012年5月-2013年5月收治孕产妇270例,均接受多普勒超声检测,随后对所选患者进行多普勒超声UCI检测,并依据UCI指数将所选患者分为A组(UCI<0.17,23例)、B组(0.17<UCI<0.37,228例)以及C组(UCI>0.37,19例),分别对3组孕产妇的胎儿窘迫发生几率、宫内发育迟缓(IUGR)例数、患者脐动脉舒张压和收缩压的比值(S/D)以及Apgar评分进行记录并对比。结果:B组的S/D比值、IUGR例数以及胎儿窘迫发生几率显著优于C组与A组(P<0.05);此外,B组的Apgar评分显著优于A组与C组(P<0.05)。结论:UCI指数对围产儿的S/D比值、Apgar评分、出现IUGR的例数以及胎儿窘迫的发生几率均有显著影响,此外UCI指数对临床预估胎儿围生期风险与结局具有指导意义。
Objective:To investigate the effect of color doppler ultrasound detection of umbilical cord index on the perinatal outcome,in order to provide help for the clinical prediction of fetal delivery risk.Methods:270 pregnant women were selected from May 2012 to May 2013.They all underwent doppler ultrasound detection,then they accepted doppler ultrasound detection in UCI.According to the UCI index,all cases were divided into group A(UCI<0.17,23 cases), group B(0.17<UCI<0.37,228 cases)and group C(UCI>0.37,19 cases).We compared the incidence of fetal distress,IUGR(intrauterine growth retardation cases,S/D(the ratio of umbilical artery in patients with diastolic and systolic blood pressure) and the apgar score of the three groups.Results:In group B,S/D ratio,IUGR number of cases and the incidence of fetal distress were higher than those of group C and group A(P0.05);in addition,the apgar score in group B was higher than that of group A and group C(P0.05).Conclusion:The UCI index has obviously influence on the ratio of S/D,the Apgar score,the number of IUGR cases and the incidence of fetal distress,in addition,the UCI index has the guidance significance for clinical estimation of risk and outcome of fetal during growth period.
