摘要
目的探讨经阴道超声动态监测宫颈管长度预测高龄产妇早产的临床价值。方法选取2018年1月至2019年12月我院收治的100例产妇作为研究对象,按照年龄将其分为高龄产妇组与常龄产妇组,各50例。对研究对象妊娠16~23周、24~28周、30~34周时的宫颈管长度进行经阴道超声动态监测。根据测量结果对于高龄组产妇的早产可能进行预测,并对其妊娠结局进行追踪,判断其预测早产的准确度与价值。结果妊娠16~23周、24~28周、30~34周,常龄产妇组产妇的宫颈管长度均显著长于高龄产妇组,差异具有统计学意义(P<0.05)。妊娠16~23周、24~28周、30~34周,出现早产的高龄产妇宫颈管长度均显著短于非早产的高龄产妇,差异具有统计学意义(P<0.05)。结论经阴道超声动态监测宫颈管长度对高龄孕妇早产有一定的预测价值。临床能够有效针对产妇情况进行护理与治疗,合理规避母婴风险。
Objective To explore the clinical value of transvaginal ultrasound dynamic monitoring cervical canal length in predicting premature delivery in older parturient women.Methods A total of 100 parturient women admitted in our hospital from January 2018 to December 2019 were selected as the research objects,and the parturient women were divided into older parturient women group and normal age parturient women group according to the age,with 50 cases in each group.The length of cervical canal was dynamic monitored by transvaginal ultrasound dynamic monitoring at 16-23 weeks,24-28 weeks and30-34 weeks of gestation.And then based on the measurement results,the possibility of premature delivery in the older parturient women group was predicted,and the pregnancy outcomes was tracked to determine the accuracy and value of predicting premature deliver.Results At 16-23 weeks,24-28 weeks and 30-34 weeks of gestation,the cervical canal length of the normal age parturient women group were significantly longer than those of the older parturient women group,and the differences were statistically significant(P<0.05).At 16-23 weeks,24-28 weeks and 30-34 weeks of gestation,the cervical canal length of the older parturient women with premature delivery were significantly shorter than those of the older parturient women with non premature delivery,and the differences were statistically significant(P<0.05).Conclusion Transvaginal ultrasound dynamic monitoring cervical canal length has a certain predictive value for premature delivery of older parturient women.Clinical nursing and treatment can be effectively carried out according to the maternal situation,and the risk of mother and child can be reasonably avoided.
作者
张毅娟
张文婷
ZHANG Yijuan;ZHANG Wenting(Qiannan Prefecture People's Hospital of Guizhou Province,Qiannan 558000,China)
出处
《临床医学研究与实践》
2020年第26期132-133,共2页
Clinical Research and Practice
基金
黔南州科技计划项目[No.黔南科合社字(2018)20号]。
关键词
阴道超声
宫颈管长度
高龄产妇
vaginal ultrasound
cervical canal length
older parturient women
作者简介
张毅娟(1982-),女,汉族,贵州都匀人,副主任医师,学士。研究方向:妇产科临床、危急重症急救。
