河北医学Issue(8)：1373-1376,4.DOI:10.3969/j.issn.1006-6233.2015.08.001
子宫动脉超声多普勒血流监测在妊娠期高血压疾病晚期中的应用价值分析
Analysis of Uterine Ar tery Doppler Blo d Flow Monitoring for Late Pregnancy Induced Hypertension
摘要
Abstract
Objective:To investigate the value of uterine artery doppler blood flow monitoring for late pregnancy induced hypertension.Method:92 cases with late pregnancy induced hypertension and 87 cases of normal pregnant women were selected in our hospital from January 2012 to August 2014 as studies, among them patients with hypertension in late pregnancy as the observation group, normal pregnant women as the control group, uterine artery hemodynamics situation of all studies were detected in Doppler, hemodynamic parameters measured resistance index ( RI) , pulsatility index ( PI) , systolic -diastolic velocity ratio ( S /D) , and recording whether had early diastolic notch, all subjects were followed up until the end of pregnan-cy, uterine artery hemodynamics discrepancy of two groups were compared, and their pregnancy outcome dis-crepancy, including the average gestational age, birth weight , body mass index, premature birth rate,cesar -ean section rate and the incidence of fetal distress, they were divided into groups with and without notch notch group according to the presence or absence of early diastolic notch, pregnancy outcomes of two groups were compared.Result:①Resistance index ( RI) of the observation group were , significantly higher than that in the control group, difference had statistically significant ( P<0.05);Pulsatility index ( PI) of the ob-servation group were , significantly higher than that in the control group, difference had statistically signifi-cant( P<0.05);Shrinkage -diastolic flow velocity ratio ( S /D) of the observation group were significantly higher than that in the control group, difference had statistically significant( P<0.05);The incidence of early diastolic notch of the observation group were 42.39%, significantly higher than that of 9.20%in the control group, difference had statistically significant(P<0.05); ② The average gestational age of the observation group were significantly lower than that of weeks in the control group, difference had statistically significant ( P<0.05);Birth weight of the observation group were significantly lower than that of in the control group, difference had statistically significant( P<0.05);BMI of the observation group were significantly higher than that in the control group, difference had statistically significant( P<0.05); The incidence of preterm birth rate, the cesarean section rate and fetal distress of the observation group were significantly higher than the control group, difference had statistically significant( P<0.05);③The average gestational age of notch group were significantly less than in the non-notch group, difference had statistically significant( P<0.05);Birth weight of notch group were significantly less than that in the non-notch group, difference had statistically sig-nificant( P<0.05);The incidence of abnormal amniotic fluid, premature birth, asphyxia incidence and inci-dence of fetal distress of notch group were significantly higher than the control group, difference had statisti-cally significant( P<0.05) .Conclusion:Uterine artery doppler blood flow monitoring for late pregnancy in-duced hypertension has application value,uterine artery doppler blood flow monitoring can predict complica -tions of hypertensive disorders in pregnancy perinatal period, worth application in clinical.关键词
妊娠期高血压/子宫动脉/超声多普勒Key words
Hypertensive disorders in pregnancy/Uterine artery/Doppler引用本文复制引用
黄祯,余玉华,陈丽珍,杨银广,李云峰..子宫动脉超声多普勒血流监测在妊娠期高血压疾病晚期中的应用价值分析[J].河北医学,2015,(8):1373-1376,4.基金项目
国家自然科学基金，（编号30960445）；广东省东莞市科学技术局计划项目， （）
