彩色多普勒超声监测妊娠高血压综合症对肾脏及子宫胎盘血液循环的影响  

Effect of Color Doppler Ultrasound Monitoring on Blood Circulation of Kidney and Uterus Placenta in Pregnancy-induced Hypertension Syndrome

作　　者：王玲[1] 华扬[1] WANG Ling HUA Yang(Xuanwu Hospital of Capital Medical University, Beijing 100053, China)

机构地区：[1]首都医科大学宣武医院,北京100053

出　　处：《河北医学》2017年第9期1415-1419,共5页Hebei Medicine

基　　金：北京市科技计划项目;(编号:20120248)

摘　　要：目的:分析彩色多普勒超声监测妊娠高血压综合症(PIH)对孕妇肾脏及子宫胎盘血液循环的影响。方法:将138例PIH患者设为研究组,其中轻度PIH 45例、中度PIH 60例、重度PIH 33例;将62例正常妊娠者设为对照组。比较两组的基本情况,SA、RA、IRA、UT-A、MCA的PI、RI、S/D,孕20~25、26~30、31~35、36~41周的脐静脉血流量。结果:对照组的年龄、孕周、文化程度、经济收入与研究组相比,差异无统计学意义(P>0.05);研究组存在疾病史的患者明显大于对照组,差异有统计学意义(P<0.05)。轻度PIH的PI与RI、RA的RI、UT-A的RI、MCA的RI与对照组比较,差异均无统计学意义(P>0.05);中度PIH和重度PIH的SA、RA、IRA、UT-A的PI、RI、S/D明显大于对照组,差异均有统计学意义(P<0.05);研究组中度PIH和重度PIH的MCA的PI、RI、S/D明显小于对照组,差异均有统计学意义(P<0.05)。孕20~25周、孕26~30周时,研究组轻度PIH的脐静脉血流量与对照组比较,差异均无统计学意义(P>0.05);孕20~25周时,研究组中度PIH、重度PIH的脐静脉血流量与对照组比较,差异均无统计学意义(P>0.05);孕26~30周、孕31~35周、36~41周时,研究组中度PIH、重度PIH的脐静脉血流量明显大于对照组,差异均有统计学意义(P<0.05)。结论:彩色多普勒超声监测能够及时预测妊娠者肾脏及子宫胎盘血液动力学变化,为临床预防和控制PIH的发生发展提供更为科学的敏感指标。Objective： To analyze the effect of color ultrasound monitoring on blood circulation of kidney and uterus placenta in pregnancy-induced hypertension （PIH） syndrome.Methods： 138 cases of PIH patients were divided into the study group,among which there were 45 cases of mild PIH,60 cases of moderate PIH and 33 cases of severe PIH; 62 cases of normal pregnancy people were selected as the control group.The basic situations such as SA,RA,IRA,UT-A,PI of MCA,RI,S/D,umbilical vein blood flow at 20 ～ 25,26 ～ 30,31 ～ 35,36 ～ 41 weeks during pregnancy of the two groups were compared.Results： The control group＇s age,gestational weeks,educational level,economic income showed no statistical significance （P〈0.05） with those of the study group; The study group＇s proportion of patients with disease history was sharply higher than that of the control group,the difference had statistical meaning （P〈0.05）.Distance about PI,RI of RA,RI of UT-A,RI of MCA in the mild PIH and the control group showed no statistical significance （P〈0.05）; SA,RA,IRA,PI of UT-A,RI,S/D of the moderate PIH and severe PIH were significantly higher than those of the control group,the differences had statistical significance （P〈0.05）; PI of MCA,RI,S/D of the moderate PIH and severe PIH in the study group were significantly smaller than those of the control group,the differences had statistical significance （P〈0.05）.At 20 ～ 25 weeks,26 ～ 30 weeks of gestation,compared with the control group,umbilical vein blood flow of the mild PIH of the study group showed no statistical significance （P〈0.05）; At 20～25 weeks of gestation,umbilical vein blood flow of moderate PIH,severe PIH of the study group showed no statistical significance （P〈0.05） when compared with that of the control group; At 26 ～ 30 weeks,31 ～ 35 weeks,36 ～ 41 weeks of gestation,umbilical vein blood flow of moderate PIH,severe PIH of the study group was significantly higher than that of the control group,the differences had stati

关 键 词：彩色多普勒超声 妊娠高血压综合症 血液循环 

分 类 号：R714.246[医药卫生—妇产科学]