子宫胎盘床血流检测对预测妊高征的临床研究  

Clinical study on Uterine placental bed blood test in predicting PIH

作　　者：罗翠娟 罗文珍 胡春柳 

机构地区：[1]广东省惠州市惠阳保健院,516001

出　　处：《临床合理用药杂志》2011年第20期32-33,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的检测子宫胎盘床动脉血流预测妊娠高血压综合征疾病的发生。方法应用多普勒彩色超声诊断仪检测113例孕20～21周的孕妇的子宫胎盘床动脉血流,测定RI(阻力指数)、PI(搏动指数)、S/D(收缩期与舒张期流速比),并随访至妊娠终止,根据妊娠结局分为发生妊高征和未发生妊高征两组,对比各指标数据,进行统计学分析,找出其与妊高征的相关性。结果 113例孕妇中10例发生妊高征,RI、PI及S/D的预测界值分别为:RI值0.55,PI值0.62,S/D值2.40,均具有显著的统计学意义(P<0.01)。结论检测子宫胎盘床螺旋动脉血流RI、PI、S/D值对妊高征的发生发展有预测作用。Objective To analyze the uterine placental bed blood test in predicting PIH. Methods 113 cases of pregnant women with 20 to 21 gestational weeks were detected of uterine placental bed blood flow by Doppler color ultrasound, and RI （resistance index）, PI （pulsatility index） , S/D （systolic and diastolic velocity ratio ）, and follow-up were measured to the termination of pregnancy, according to the occurrence of pregnancy-induced hypertension and pregnancy outcome, they were divided into PIH group and non-PIH group, and the indicator data were statistically analyzed and compared to finde the correlation with PIH. Results Among 113 eases, 10 cases had PIH, RI, PI and S/D values were 0. 55,0.62, and 2.40 respectively, and the difference were significant （ P 〈 0.01 ）. Conclusion Detection of uterine placental bed spiral arteries RI, PI, and S/D value can predict the occurrence and development of PIH.

关 键 词：超声检查 预测 子宫胎盘床 动脉血流 妊高征 

分 类 号：R714.246[医药卫生—妇产科学]