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孕中期子宫动脉血流多普勒超声检查与子痫前期妊娠结局及新生儿预后的相关研究

陈飞 王亦雄 周莹 黄鲜梅 钱勤

实用临床医药杂志2018,Vol.22Issue(9):75-78,4.
实用临床医药杂志2018,Vol.22Issue(9):75-78,4.DOI:10.7619/jcmp.201809020

孕中期子宫动脉血流多普勒超声检查与子痫前期妊娠结局及新生儿预后的相关研究

Relationship between Doppler ultrasound examination of blood flow of uterine arteries in the second trimester and the outcomes of preeclampsia,prognosis of neonates

陈飞 1王亦雄 1周莹 1黄鲜梅 1钱勤1

作者信息

  • 1. 扬州大学医学院附属医院,江苏省扬州市妇幼保健院超声科,江苏扬州,225002
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摘要

Abstract

Objective To explore indicator value of blood flow of uterine arteries in second trimester uterine artery by Doppler ultrasound and early diastolic notch in the prediction of preeclampsia development,and to analyze the relationship between these values and pregnancy outcomes and neonatal prognosis.Methods A total of 89 puerperae cases with preeclampsia underwent pregnant examinations in our hospital were retrospectively reviewed,and were divided into mild preeclampsia (group A) and severe preeclampsia (group B),and 100 women with normal singleton pregnancies were selected as control group(Group C).Four-dimensional ultrasound was adopted to detect pulsatility indices (PI),resistance indices (RI) and early-diastolic notch of bilateral uterine arteries in the three groups from 20 to 26 gestational weeks.The pulsatility index (PI) and resistance index (RI) of the uterine artery were measured,and the number of early diastolic waves was recorded.The relationship between these values and the outcomes of pregnancy and neonates was analyzed.Results Neonatal prognosis of Group B was worse than that of group A and group C (P < 0.05);The uterine artery PI and RI of group B were higher than that of group A and group C (P < 0.05).The early diastolic notch of group A and group B was higher than that of group C (P < 0.05).Conclusion The indicator value of blood flow in uterine artery and the early diastolic notch in the second trimester could monitor the occurrence of preeclampsia,especially severe preeclampsia and they are useful to predict preeclampsia severity and prenatal prognosis.

关键词

子宫动脉/多普勒超声/子痫前期/血流参数

Key words

uterine artery/Doppler ultrasound/preeclampsia/indicator of blood flow

分类

医药卫生

引用本文复制引用

陈飞,王亦雄,周莹,黄鲜梅,钱勤..孕中期子宫动脉血流多普勒超声检查与子痫前期妊娠结局及新生儿预后的相关研究[J].实用临床医药杂志,2018,22(9):75-78,4.

实用临床医药杂志

1672-2353

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