摘要
目的探讨分析多普勒超声在高危妊娠子宫-胎儿-胎盘循环监测中的价值。方法选取60例高危妊娠产妇作为试验组,另选取60例正常妊娠产妇作为对照组。两组产妇均采用多普勒超声进行妊娠子宫-胎儿-胎盘循环监测。比较两组胎儿脐动脉(UMA)、胎儿大脑中动脉(MCA)、子宫动脉(UTA)的收缩期峰值流速与舒张末期流速比(S/D)、阻力指数(RI)、搏动指数(PI)水平。结果试验组胎儿脐动脉的PI、RI、S/D水平分别为(1.36±0.31)、(0.69±0.06)、(3.72±0.55),均高于对照组的(0.75±0.23)、(0.58±0.05)、(2.48±0.49),差异具有统计学意义(P<0.05)。试验组胎儿大脑中动脉的PI、RI、S/D水平分别为(1.02±0.32)、(0.62±0.13)、(3.22±1.02),均低于对照组的(1.35±0.34)、(0.78±0.14)、(3.99±0.89),差异具有统计学意义(P<0.05)。两组子宫动脉的PI、RI水平比较差异无统计学意义(P>0.05);试验组子宫动脉的S/D(1.82±0.06)高于对照组的(1.69±0.09),差异具有统计学意义(P<0.05)。结论多普勒超声监测高危妊娠孕妇子宫-胎儿-胎盘循环参数,可全面评估胎儿宫内状况,对判断胎儿预后具有重要的临床价值。
Objective To discuss and analyze the value of Doppler ultrasonography in monitoring uterine-fetal-placental circulation in high-risk pregnancy.Methods There were 60 cases of high-risk pregnant women selected as the experimental group,and 60 cases of normal pregnant women as the control group.Both groups used Doppler ultrasonography to monitor the uterine-fetal-placental circulation.The systolic peak velocity/diastolic peak velocity(S/D),resistance index(RI)and pulse index(PI)of umbilical artery(UMA),middle cerebral artery(MCA)and uterine artery(UTA)were compared between the two groups.Results The PI,RI and S/D of umbilical artery of the experimental group were(1.36±0.31),(0.69±0.06)and(3.72±0.55),which were higher than(0.75±0.23),(0.58±0.05)and(2.48±0.49)of the control group,and the difference was statistically significant(P<0.05).The PI,RI and S/D of middle cerebral artery of the experimental group were(1.02±0.32),(0.62±0.13)and(3.22±1.02),which were lower than(1.35±0.34),(0.78±0.14)and(3.99±0.89)of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in PI and RI of uterine artery between the two groups(P>0.05).The S/D of uterine artery(1.82±0.06)of the experimental group was higher than(1.69±0.09)of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in PI and RI of uterine artery between the two groups(P>0.05).The S/D of uterine artery(1.82±0.06)of the experimental group was higher than(1.69±0.09)of the control group,and the difference was statistically significant(P<0.05).Conclusion Doppler ultrasonography monitoring of the uterine-fetal-placental circulation parameters of high-risk pregnancy women can comprehensively assess the fetal intrauterine condition and has important clinical value in judging the prognosis of the fetus.
作者
莫莉
田菁菁
MO Li;TIAN Jing-jing(Department of Ultrasound,Anshun Maternal and Child Health Hospital,Anshun 561000,China)
出处
《中国实用医药》
2021年第21期49-52,共4页
China Practical Medicine
关键词
多普勒超声
高危妊娠
子宫
胎儿
胎盘循环
Doppler ultrasonography
High-risk pregnancy
Uterus
Feus
Placental circulation
