妊娠糖尿病孕妇脐动脉血流S/D值与胎儿宫内窘迫发生的关系  

Relationship between umbilical artery blood flow S/D value and incidence of fetal distress in pregnant women with gestational diabetes mellitus

作　　者：卫洛红 刘永莉 WEI Luo-hong;LIU Yong-li(Obstetrics Department,Shijiazhuang Obstetrics and Gynecology Hospital,Shijiazhuang 050000,China)

机构地区：[1]河北省石家庄市妇产医院产科,石家庄市050000

出　　处：《广西医学》2021年第2期182-185,共4页Guangxi Medical Journal

基　　金：河北省石家庄市科学技术研究与发展计划(191460413)。

摘　　要：目的分析妊娠糖尿病(GDM)孕妇脐动脉血流S/D值与胎儿宫内窘迫发生的关系。方法选取45例GDM孕妇作为GDM组,40例非GDM孕妇作为非GDM组。测定两组孕妇的脐动脉血流S/D值,记录两组胎儿宫内窘迫的发生情况,分析两组孕妇脐动脉血流S/D值与胎儿宫内窘迫发生率的相关性。结果GDM组孕妇的脐动脉血流S/D值高于非GDM组(P<0.05)。GDM组孕妇胎儿宫内窘迫总发生率高于非GDM组(P<0.05),其中脐动脉血流S/D值在2.81~2.90、2.91~3.0区间时,GDM组孕妇胎儿宫内窘迫发生率均高于非GDM组孕妇(均P<0.05)。GDM组孕妇胎儿宫内窘迫多发于脐动脉血流S/D值在2.71~3.0区间时,非GDM组孕妇胎儿宫内窘迫多发于脐动脉血流S/D值>2.81时。两组孕妇脐动脉血流S/D值与胎儿宫内窘迫发生率均呈线性相关(均P<0.05)。结论GDM孕妇的脐动脉血流S/D值和胎儿宫内窘迫发生率均升高,且二者呈线性相关,脐动脉血流S/D值或可作为胎儿宫内窘迫的评价指标。Objective To analyze the relationship between umbilical artery blood flow S/D value and incidence of fetal distress in pregnant women with gestational diabetes mellitus(GDM).Methods Forty-five GDM pregnant women were selected as GDM group and 40 non-GDM pregnant women as non-GDM group.The umbilical artery blood flow S/D value of pregnant women in the two groups was measured,the incidence of fetal distress was recorded in the two groups,and the correlation between umbilical artery blood flow S/D value of pregnant women and incidence rate of fetal distress was analyzed in the two groups.Results The umbilical artery blood flow S/D value in the GDM group was higher than that in the non-GDM group(P<0.05).The GDM group reported a higher total incidence rate of fetal distress than the non-GDM group(P<0.05),and the GDM group exhibited a higher incidence rate of fetal distress than the non-GDM group with the umbilical artery blood flow S/D value ranged 2.81 to 2.90 or 2.91 to 3.0(all P<0.05).In the GDM group fetal distress commonly occurred in pregnant women with the umbilical artery blood flow S/D value ranged 2.71 to 3.0,in the non-GDM group fetal distress commonly occurred in pregnant women with the umbilical artery blood flow S/D value over 2.81.A linear correlation was observed between umbilical artery blood flow S/D value of pregnant women and incidence rate of fetal distress in both groups(all P<0.05).Conclusion Both umbilical artery blood flow S/D value and incidence rate of fetal distress are elevated in GDM pregnant women,and the two indices are linearly related.Umbilical artery blood flow S/D value might act as an indicator for fetal distress assessment.

关 键 词：妊娠糖尿病 胎儿宫内窘迫 脐动脉血流 监护 彩色多普勒超声 

分 类 号：R714.256[医药卫生—妇产科学]