妊娠中晚期子宫动脉血流阻力检测在子痫前期预测的临床研究  

Study of Prediction of Pre-eclampsia by the Doppler Ultrasound of Uterine Arteries in Middle-late Pregnancy

作　　者：钟春华[1] 周丽霞[1] 余玉华[1] 陈武娟[1] 

机构地区：[1]南方医科大学附属东莞石龙人民医院妇产科,广东东莞523320

出　　处：《黑龙江医学》2014年第6期625-627,共3页Heilongjiang Medical Journal

基　　金：东莞市医疗卫生单位科技计划一般项目(201210515024068)

摘　　要：目的探讨妊娠中晚期子宫动脉血流阻力检测在子痫前期预测中的作用。方法以我院2012-08～2013-08间收治的60例妊娠高血压患者及30例正常孕妇为研究对象,根据其最终诊断结果分为子痫前期组(28例)、妊娠期高血压组(32例)和正常妊娠组(30例),比较3组产妇在妊娠中晚期进行的子宫动脉血流阻力结果及分娩质量的情况。结果子痫前期组产妇搏动指数(PI)和阻力指数(RI)高于妊娠期高血压组及正常妊娠组产妇,1分钟Apgar评分和新生儿体重低于妊娠期高血压组及正常妊娠组产妇,差异有统计学意义(P<0.05)。结论对妊娠中晚期孕妇进行子宫动脉血流阻力检测,可以有效地对子痫前期进行预测,及时采取干预措施,具有积极的临床价值。Objective To study the prediction value of pre-eclampsia by the Doppler ultrasound of uterine arteries in the middle-late pregnancy. Methods 60 pregnant women were divided into the pre-eclampsia group（ PE group,28 cases）,hypertensive disorder complicating pregnancy group（ HDCP group,32 cases） and control group（ 30 cases）. The doppler ultrasound of uterine arteries was used in the all pregnant women,and the results were compared among the three groups. Results The PI and RI of the PE group were higher than that in the HDCP group and control group. The Apgar degree and the birth weight of the PE group were lower than that in the HDCP group and control group with statistical meaning（ P〈0. 05）. Conclusion It can get a satisfaction effect to use Doppler ultrasound of uterine arteries in the prediction of pre-eclampsia in middle-late pregnancy.

关 键 词：子痫前期 超声 子宫动脉 

分 类 号：R714.245[医药卫生—妇产科学]