妊娠晚期孕妇颈围与脐动脉血流相关性分析  

Correlation between neck circumference of pregnant woman in late trimester of pregnancy and umbilical artery blood flow

作　　者：邵俊涛[1] 吴晓华[2] 郑晶晶[1] 齐俊巧[3] 刘晓东[1] 邵楠[1] 

机构地区：[1]河北省秦皇岛市第一医院超声诊断科,066000 [2]河北省秦皇岛市第一医院普外科,066000 [3]河北省秦皇岛市第一医院妇产科,066000

出　　处：《河北医药》2017年第19期2910-2914,共5页Hebei Medical Journal

基　　金：秦皇岛市科学技术研究与发展指导计划项目(编号:201602A164)

摘　　要：目的探讨妊娠晚期孕妇颈围与脐动脉Vs/Vd比值的相关性。方法 126例妊娠晚期女性,按颈围分为颈围<34.7 cm组(n=81)和颈围≥34.7 cm组(n=45)。分析妊娠晚期孕妇颈围与脐动脉Vs/Vd比值的关系。结果颈围≥34.7cm组脐动脉Vs/Vd≥3.0检出率明显高于颈围<34.7 cm组(64.4%vs 19.8%,χ~2=25.166,P=0.000)。多因素Logistic回归分析,颈围≥34.7 cm(Or=5.167,95%CI:2.138~12.491,P=0.000)是脐动脉Vs/Vd≥3.0的独立危险因素。排除合并妊娠相关疾病孕妇后,颈围≥34.7cm组Vs/Vd比值≥3.0检出率仍明显高于颈围<34.7 cm组(47.8%vs 11.5%,χ2=14.728,P=0.000)。多因素Logistic回归分析,颈围≥34.7 cm(Or=7.028,95%CI:2.403~20.555,P=0.000)是Vs/Vd比值≥3.0的独立危险因素。结论颈围与脐动脉Vs/Vd比值密切相关,提示肥胖与胎盘功能异常有关,即使在健康妊娠女性。Objective To investigate the correlation between neck circumference of pregnant woman in late trimester of pregnancy and systolic/diastolic ratio （ Vs/Vd） of umbilical artery. Methods One hundred and twenty-six pregnant women in late trimester of pregnancy were enrolled in the study. According to the neck circumference, these pregnant women were divided into two groups： group A （ n =81） in which the pregnant women with neck circumference 〈 34. 7 cm,and group B （n = 45） in which the pregnant women with neck circumference ^34. 7cm. The correlation between neck circumference of pregnant woman in late trimester of pregnancy and Vs/Vd ratio of umbilical artery was analyzed. Results The detection rate of Vs/Vd^3.0 in group B was significantly higher than that in group A （64.4% vs 19.8% , x2 = 2 5 -1 6 6 , P 〈 0 .0 1 ） . The multiple factor logistic regression analysis showed that neck circumference 多34. 7cm （ r = 5. 167, 95% , C l ：2. 138 ？12. 4 9 1, P 〈0.01） was an independent risk factor of systolic/diastolic ratio ^3.0. After the pregnant women with pregnancy-related disease were excluded, the detection rate of Vs/Vd ≥3.0 in group B was also significantly higher than that in group A （47.8% vs 11.5%,）（2 = 14. 7 2 8 ,P 〈 0. 01） . The multiple factor logistic regression analysis showed that neck circumference ≥34.7cm （ r =7.028, 95% Cl ： 2.403 - 20. 555 , P 〈 0 .0 1 ） was an independent risk factor of systolic/diastolic ratio ≥3.0. Conclusion The neck circumference of pregnant woman is closely correlated to Vs/Vd ratio of umbilical artery, which

关 键 词：颈围 脐动脉血流 妊娠晚期 

分 类 号：R714.2[医药卫生—妇产科学]