發(fā)布時(shí)間：2018-05-23 15:46

  本文選題：妊娠期高血壓 + 多普勒超聲��； 參考：《中國(guó)地方病防治雜志》2017年01期

【摘要】：目的探討多普勒超聲對(duì)妊娠期高血壓患者子宮動(dòng)脈血流的檢測(cè)情況。方法選擇我院2015年2月至2016年2月我院接診的80例妊娠期高血壓患者作為觀察組,并選擇同期我院接診的80例正常妊娠產(chǎn)婦作為對(duì)照組。使用美國(guó)GE Voluson E8超聲多普勒血流檢測(cè)儀,比較兩組子宮動(dòng)脈血流及妊娠結(jié)局;并根據(jù)是否出現(xiàn)舒張?jiān)缙谇雄E將觀察組分為切跡組和無(wú)切跡組,比較兩組妊娠結(jié)局。結(jié)果觀察組阻力指數(shù)、搏動(dòng)指數(shù)、收縮-舒張流速比值均比對(duì)照組高[(0.59±0.06)vs(0.51±0.03),(0.95±0.18)vs(0.72±0.12),(2.47±0.52)vs(2.01±0.31)],差異均具有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組新生兒體重明顯低于對(duì)照組,早產(chǎn)、剖宮產(chǎn)、胎兒窘迫明顯高于對(duì)照組,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05);在觀察組中,舒張?jiān)缙谇雄E發(fā)生率為45.00%(36/80),切跡組新生兒體重明顯低于無(wú)切跡組,早產(chǎn)、羊水異常、胎兒窘迫發(fā)生率均明顯高于無(wú)切跡組,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論在妊娠期高血壓患者中應(yīng)用多普勒超聲檢測(cè)子宮動(dòng)脈血流動(dòng)力學(xué)有助于預(yù)測(cè)不良妊娠結(jié)局,臨床應(yīng)用價(jià)值高。
[Abstract]:Objective to investigate the detection of uterine artery flow in hypertensive women with gestational hypertension by Doppler ultrasound. Methods from February 2015 to February 2016, 80 pregnant women with hypertension complicating pregnancy were selected as observation group and 80 normal pregnant women in the same period as control group. The uterine artery blood flow and pregnancy outcome were compared by US GE Voluson E8 ultrasound Doppler flow detector, and the observed group was divided into notch group and no notch group according to whether there was early diastolic notch, and compared the pregnancy outcome between the two groups. Results the resistance index, pulsatility index and systolic / diastolic velocity ratio in the observation group were significantly higher than those in the control group [0.59 鹵0.06)vs(0.51 鹵0.03 鹵0.95 鹵0.12 鹵2.47 鹵0.31], the difference was statistically significant (P 0.05), the weight of the newborns in the observation group was significantly lower than that in the control group, preterm delivery, cesarean section, fetal distress were significantly higher than those in the control group. In the observation group, the incidence of early diastolic notch was 45.00% (36 / 80), the weight of newborns in the notch group was significantly lower than that in the no notch group, the incidence of premature delivery, amniotic fluid abnormality and fetal distress was significantly higher in the observation group than in the no notch group. The difference was statistically significant (P 0.05). Conclusion the application of Doppler ultrasound in the detection of uterine artery hemodynamics in hypertensive complicating pregnancy is helpful to predict the adverse pregnancy outcome, and the clinical application value is high.
【作者單位】： 哈勵(lì)遜國(guó)際和平醫(yī)院;
【基金】：衡水市科技計(jì)劃項(xiàng)目(15002)
【分類號(hào)】：R445.1;R714.246

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 Prefumo F.;Güven M.;Ganapathy R.;Thilaganathan B. ;朱曉明;;子宮動(dòng)脈血流波形的縱向變異與出生體重[J];世界核心醫(yī)學(xué)期刊文摘(婦產(chǎn)科學(xué)分冊(cè));2005年08期

2 瞿曉慈,江榮;彩色多普勒血流顯像對(duì)惡性滋養(yǎng)細(xì)胞腫瘤的診斷價(jià)值[J];交通醫(yī)學(xué);1999年04期

3 尹春艷;賀京軍;毛邱嫻;;高危人群子宮動(dòng)脈血流預(yù)測(cè)妊娠期高血壓疾病的研究[J];中國(guó)優(yōu)生與遺傳雜志;2008年10期

4 程德敏;黎寧;魯秋云;徐東曉;唐莉;;彩色多普勒能量圖對(duì)痛經(jīng)患者接受活血化淤療法后子宮動(dòng)脈血流變化的觀察[J];臨床和實(shí)驗(yàn)醫(yī)學(xué)雜志;2006年07期

5 劉芳蓀;孫曉嵐;林其德;湯希偉;胡柯;;妊娠早期子宮動(dòng)脈血流的變化及其對(duì)妊娠結(jié)局的影響[J];生殖與避孕;2009年12期

6 潘義;孫麗洲;姜海風(fēng);周月際;;正常孕婦子宮動(dòng)脈血流多普勒參數(shù)序貫研究[J];中國(guó)實(shí)用婦科與產(chǎn)科雜志;2006年12期

7 趙玉珍,劉明瑜,李燦霞;子宮良惡性腫塊子宮動(dòng)脈血流的脈沖多普勒超聲檢測(cè)對(duì)比研究[J];中國(guó)超聲醫(yī)學(xué)雜志;1993年03期

8 金云;阿同古麗;;子宮動(dòng)脈血流參數(shù)及血清鈣預(yù)測(cè)妊娠期高血壓疾病的分析[J];中國(guó)醫(yī)藥指南;2013年18期

9 王玉潔,羅麗蘭,萬(wàn)軒金,樂桂榮,張友耿;彩色多普勒能量圖對(duì)不孕癥婦女子宮動(dòng)脈血流變化的觀察[J];同濟(jì)醫(yī)科大學(xué)學(xué)報(bào);2000年02期

10 金秀花;錢蓉蓉;趙小紅;湯海燕;;子宮動(dòng)脈血流阻力與平均動(dòng)脈壓對(duì)比性研究[J];中國(guó)婦幼保健;2007年02期

相關(guān)會(huì)議論文 前1條

1 武錦霞;朱付凡;;抗磷脂綜合征患者TXA_2/PGI_2與子宮動(dòng)脈血流變化[A];中華醫(yī)學(xué)會(huì)第五次全國(guó)圍產(chǎn)醫(yī)學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2005年

相關(guān)重要報(bào)紙文章 前1條

1 通訊員 徐尤佳;流產(chǎn) 查查子宮動(dòng)脈血流[N];中國(guó)中醫(yī)藥報(bào);2014年

相關(guān)碩士學(xué)位論文 前1條

1 李敏;經(jīng)舒飲方治療寒凝血瘀型原發(fā)性痛經(jīng)的臨床研究[D];山東中醫(yī)藥大學(xué);2011年

，

本文編號(hào)：1925384