目的探讨妊娠高血压(HDCP)晚期的血流频谱和围产期胎儿情况及血流阻力对孕妇妊娠结局的影响。方法选择2017年5至2019年6月在成都市双流区妇幼保健院收治的具有完整产检信息的50例妊娠晚期HDCP孕妇(观察组),年龄22~35岁,平均年龄29.2岁;...目的探讨妊娠高血压(HDCP)晚期的血流频谱和围产期胎儿情况及血流阻力对孕妇妊娠结局的影响。方法选择2017年5至2019年6月在成都市双流区妇幼保健院收治的具有完整产检信息的50例妊娠晚期HDCP孕妇(观察组),年龄22~35岁,平均年龄29.2岁;体质量指数(BMI)29.3~36.5 kg/m^2,平均BMI 33.5 kg/m^2;舒张压13.1~14.7 kPa(98.5~110.4 mmHg),收缩压19.7~20.4 kPa(148.1~153.7 mmHg);孕周34~39周,平均孕周37.8周;20例妊娠期高血压,14例子痫前期,8例子痫,5例慢性高血压并发子痫前期,3例妊娠合并慢性高血压。以同期50例正常健康孕妇作为对照组,年龄23~36岁,平均年龄29.7岁;BMI 28.6~36.4 kg/m^2,平均BMI 33.1 kg/m^2。收集32周产检时两组孕妇彩色多普勒超声检测子宫动脉及脐动脉的阻力指数(RI)、血流搏动指数(PI)、收缩期峰值血流速度与舒张末期血流速度的比值(S/D)数据和出生后新生儿生长指标。比较两组孕妇子宫动脉及脐动脉血流阻力指标变化和出生后新生儿生长指标,观察两组新生儿1 min和5 min Apgar评分及妊娠结局。结果观察组子宫动脉及脐动脉多普勒血流频谱RI、PI、S/D指标均明显高于对照组(子宫动脉RI:0.60±0.21 vs 0.48±0.18;PI:1.22±0.31 vs 0.78±0.28;S/D:3.32±0.42 vs 2.78±0.38。脐动脉RI:0.71±0.18 vs 0.52±0.09;PI:1.30±0.28 vs 0.69±0.19;S/D:4.12±0.37 vs 2.80±0.27)。观察组胎儿生长发育受限,与对照组比较,差异均有统计学意义(P<0.05)。观察组新生儿1 min Apgar评分<7分比例和5 min Apgar评分<7分比例均高于对照组(46%vs 10%,24%vs 4%),差异有显著统计学意义(P<0.01)。观察组中子宫动脉和脐动脉高RI组孕周均明显短于低RI组;子宫动脉和脐动脉高RI组产后住院时间均明显长于低RI组[子宫动脉,(12±4)d vs(8±3)d。脐动脉,(11±5)d vs(7±4)d];子宫动脉和脐动脉高RI组行剖宫产的比例均明显多于低RI组(子宫动脉,51.4%vs 20.0%;脐动脉,54.1%vs 30.8%),差异有统计学意展开更多
Jiuzhai Gully and Huanglong Temple,located in Aba Prefecture of Sichuan Province, were enlisted by the United Nations among the “World’s Natural Heritage”. The scenery there is of the world level but the roads to J...Jiuzhai Gully and Huanglong Temple,located in Aba Prefecture of Sichuan Province, were enlisted by the United Nations among the “World’s Natural Heritage”. The scenery there is of the world level but the roads to Jiuzhai and Huanglong in the past were off-grade,narrow and zigzagging. They were difficult to ride on and traffic accidents were common. Sichuan provincial government set to build a ring road from Chengdu to Jiuzhai Gully in 1994. This road is 913 kilometers long. And it is supposed to completC the paving, tunneling and marking by the year 1998. Today this ring road has been opened to traffic. Stafting from Chengdu, you can reach Jiuzhai Gully within one day. The dream of leaving Chengdu in the morning and arriving Jiuzhai in the evening has come展开更多
Sichuan enjoys a long history of folk song creation. ehina’s first love song written some 5,000 years ago in China was fond here.Siehuan has always been the center of folk song creation in southwest China over the pa...Sichuan enjoys a long history of folk song creation. ehina’s first love song written some 5,000 years ago in China was fond here.Siehuan has always been the center of folk song creation in southwest China over the past thousands of years. Sichuan’s folk songs are featured with pleasant melodies.They are usually tuneful and agreeable to hear, simple and vivid in words, bearing striking wisdom and witticism of the local flavor. Therefore, Sichuan’s folk song creation always occupies an important position in China’s folk song circle.展开更多
文摘目的探讨妊娠高血压(HDCP)晚期的血流频谱和围产期胎儿情况及血流阻力对孕妇妊娠结局的影响。方法选择2017年5至2019年6月在成都市双流区妇幼保健院收治的具有完整产检信息的50例妊娠晚期HDCP孕妇(观察组),年龄22~35岁,平均年龄29.2岁;体质量指数(BMI)29.3~36.5 kg/m^2,平均BMI 33.5 kg/m^2;舒张压13.1~14.7 kPa(98.5~110.4 mmHg),收缩压19.7~20.4 kPa(148.1~153.7 mmHg);孕周34~39周,平均孕周37.8周;20例妊娠期高血压,14例子痫前期,8例子痫,5例慢性高血压并发子痫前期,3例妊娠合并慢性高血压。以同期50例正常健康孕妇作为对照组,年龄23~36岁,平均年龄29.7岁;BMI 28.6~36.4 kg/m^2,平均BMI 33.1 kg/m^2。收集32周产检时两组孕妇彩色多普勒超声检测子宫动脉及脐动脉的阻力指数(RI)、血流搏动指数(PI)、收缩期峰值血流速度与舒张末期血流速度的比值(S/D)数据和出生后新生儿生长指标。比较两组孕妇子宫动脉及脐动脉血流阻力指标变化和出生后新生儿生长指标,观察两组新生儿1 min和5 min Apgar评分及妊娠结局。结果观察组子宫动脉及脐动脉多普勒血流频谱RI、PI、S/D指标均明显高于对照组(子宫动脉RI:0.60±0.21 vs 0.48±0.18;PI:1.22±0.31 vs 0.78±0.28;S/D:3.32±0.42 vs 2.78±0.38。脐动脉RI:0.71±0.18 vs 0.52±0.09;PI:1.30±0.28 vs 0.69±0.19;S/D:4.12±0.37 vs 2.80±0.27)。观察组胎儿生长发育受限,与对照组比较,差异均有统计学意义(P<0.05)。观察组新生儿1 min Apgar评分<7分比例和5 min Apgar评分<7分比例均高于对照组(46%vs 10%,24%vs 4%),差异有显著统计学意义(P<0.01)。观察组中子宫动脉和脐动脉高RI组孕周均明显短于低RI组;子宫动脉和脐动脉高RI组产后住院时间均明显长于低RI组[子宫动脉,(12±4)d vs(8±3)d。脐动脉,(11±5)d vs(7±4)d];子宫动脉和脐动脉高RI组行剖宫产的比例均明显多于低RI组(子宫动脉,51.4%vs 20.0%;脐动脉,54.1%vs 30.8%),差异有统计学意
文摘Jiuzhai Gully and Huanglong Temple,located in Aba Prefecture of Sichuan Province, were enlisted by the United Nations among the “World’s Natural Heritage”. The scenery there is of the world level but the roads to Jiuzhai and Huanglong in the past were off-grade,narrow and zigzagging. They were difficult to ride on and traffic accidents were common. Sichuan provincial government set to build a ring road from Chengdu to Jiuzhai Gully in 1994. This road is 913 kilometers long. And it is supposed to completC the paving, tunneling and marking by the year 1998. Today this ring road has been opened to traffic. Stafting from Chengdu, you can reach Jiuzhai Gully within one day. The dream of leaving Chengdu in the morning and arriving Jiuzhai in the evening has come
文摘Sichuan enjoys a long history of folk song creation. ehina’s first love song written some 5,000 years ago in China was fond here.Siehuan has always been the center of folk song creation in southwest China over the past thousands of years. Sichuan’s folk songs are featured with pleasant melodies.They are usually tuneful and agreeable to hear, simple and vivid in words, bearing striking wisdom and witticism of the local flavor. Therefore, Sichuan’s folk song creation always occupies an important position in China’s folk song circle.
