本文關(guān)鍵詞： 心力儲(chǔ)備 心音圖試驗(yàn) 心率 第一心音幅值/第二心音幅值 心臟舒張期時(shí)限/心臟收縮期時(shí)限 孕晚期　出處：《實(shí)用婦產(chǎn)科雜志》2017年05期 　論文類型：期刊論文

【摘要】：目的:探討孕晚期孕婦心音圖試驗(yàn)(PCGT)檢測(cè)心力儲(chǔ)備(CCR)的價(jià)值。方法:選擇孕28~41+6周481例正常孕婦,32例心血管疾病孕婦以及100例正常產(chǎn)婦納入本研究。根據(jù)孕周分為28~31+6周、32~34+6周、35~41+6周和產(chǎn)后4個(gè)組。PCGT測(cè)量、分析孕產(chǎn)婦HR、S1/S2和D/S的變化趨勢(shì)以及各指標(biāo)之間的關(guān)系,根據(jù)正常孕婦的CCR指標(biāo)測(cè)試數(shù)據(jù)得出正常孕婦孕晚期不同孕周各指標(biāo)的95%參考值范圍,分析心血管疾病孕婦的CCR指標(biāo)異常情況。結(jié)果:不同孕周正常孕婦之間HR、S1/S2、D/S比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);不同孕周正常孕婦與產(chǎn)后婦女相比,HR增快,S1/S2增大,D/S降低,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);正常孕婦HR和S1/S2呈正相關(guān)(r=0.295,P=0.000);HR和D/S呈負(fù)相關(guān)(r=-0.393,P=0.000);S1/S2和D/S呈負(fù)相關(guān)(r=-0.406,P=0.000)。以PCGT測(cè)量CCR指標(biāo)的正常孕婦孕晚期不同孕周各指標(biāo)的95%參考值范圍為正常標(biāo)準(zhǔn),心血管疾病孕婦HR的異常率28.6%~45.5%,S1/S2和D/S的異常率63.6%~85.7%,CCR完全正常者6例(18.75%),心功能均為Ⅰ級(jí)(100%,6/6),CCR指標(biāo)異�；颊�26例(81.25%),心功能Ⅰ級(jí)3例(11.5%,3/26)。結(jié)論:PCGT檢測(cè)CCR作為一種無(wú)創(chuàng)、低廉、簡(jiǎn)單的孕晚期心臟病篩查方法具有一定價(jià)值,孕晚期孕婦PCGT檢測(cè)HR、S1/S2、D/S超過(guò)參考值范圍者,需考慮孕婦可能存在心血管疾病或患病隱患,但對(duì)于心功能Ⅰ級(jí)的心血管疾病孕婦,PCGT檢測(cè)可能出現(xiàn)漏診的情況。
[Abstract]:Objective: to investigate the value of cardiac phonogram test (PCGTT) in the detection of CCR in late pregnant women. Methods: 481 normal pregnant women at week 2841 6 were selected. Thirty-two pregnant women with cardiovascular disease and 100 normal pregnant women were included in this study. According to the gestational age, they were divided into 2831.6 weeks and 3234.6 weeks. The changes of HRS _ 1 / S _ 2 and D / S in pregnant and parturient women and the relationship between them were analyzed by measuring PCGT in 4 groups at the 6th week and postpartum. According to the CCR index test data of normal pregnant women, 95% reference values of different gestational weeks of normal pregnant women were obtained. Results: there was no significant difference in HRS1 / S2D- S between normal pregnant women with different gestational weeks (P 0.05). Compared with postpartum women, the HR of normal pregnant women with different gestational weeks was significantly higher than that of postpartum women, and S 1 / S 2 increased and D / S decreased, and the difference was statistically significant (P 0.05). There was a positive correlation between HR and S _ 1 / S _ 2 in normal pregnant women. There was a negative correlation between HR and D / S. S _ 1 / S _ 2 and D / S were negatively correlated with r-0.406. PCGT was used to measure the CCR index of normal pregnant women. The reference value range of 95% for different gestational weeks of pregnant women in the third trimester of pregnancy was the normal standard. The abnormal rate of HR in pregnant women with cardiovascular disease was 28.60.The abnormal rates of S 1 / S 2 and D / S were 63.6% and 85.7% respectively, and the CCR was completely normal in 6 cases (18.75%). The cardiac function of 26 patients with abnormal CCR index was 81.25%, and the cardiac function grade 鈪，

本文編號(hào)：1442343