不同病情妊娠期高血压疾病孕妇超声检查心功能参数与子宫动脉阻力指数相关性分析  

Correlation analysis between phonographic cardiac function and uterine artery resistance index in pregnant women with hypertension of different conditions during pregnancy

作　　者：张婧[1] 金丽仙[1] 柯林燕 徐海飞[1] Zhang Jing;Jin Lixian;Ke Linyan;Xu Haifei(Department of Ultrasound,Lishui People′s Hospital,Lishui 323000,China)

机构地区：[1]丽水市人民医院超声科,丽水323000

出　　处：《中国医师进修杂志》2022年第12期1126-1129,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨不同病情妊娠期高血压疾病孕妇彩色多普勒超声检查心功能参数与子宫动脉阻力指数(RI)的相关性。方法选取2020年1月至2021年2月丽水市人民医院收治的妊娠期高血压疾病孕妇100例,根据患者病情严重程度分为妊娠期高血压组(40例)、轻度子痫前期组(30例)和重度子痫前期组(30例),另选取同期体检正常的30例孕妇作为对照组。应用超声定量分析比较四组孕妇左心功能参数左心室等容舒张时间(IVRT)、左心室射血分数(LVEF)、左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)、左心房容积指数(LAVI)及子宫动脉RI,并分析各参数与子宫动脉RI的相关性。结果妊娠期高血压疾病孕妇随着病情程度的加重,IVRT、LVEDV、LVESV、LAVI逐渐升高,LVEF逐渐降低,组间比较差异均有统计学意义(P<0.05)。对照组、妊娠期高血压组、轻度子痫前期组、重度子痫前期组子宫动脉RI分别为0.42±0.04、0.50±0.05、0.54±0.11、0.58±0.06,四组子宫动脉RI比较差异有统计学意义(F=34.11,P<0.001);妊娠期高血压疾病孕妇随着病情程度的加重,子宫动脉RI逐渐升高,组间比较差异均有统计学意义(P<0.05)。四组孕妇IVRT均与子宫动脉RI存在相关性(r=0.331、0.452、0.531、0.582,P<0.05);在轻度、重度子痫前期组中,LVEDV、LVESV与子宫动脉RI存在相关性(轻度子痫前期组:r=0.360、0.411,P<0.05;重度子痫前期组:r=0.383、0.451,P<0.05)。结论超声评估不同病情妊娠期高血压疾病孕妇左心功能呈下降趋势,子宫动脉RI逐渐增高,其中以重度子痫前期孕妇变化最明显,且子宫动脉RI与心脏超声参数IVRT关系密切。Objective To analyze the correlation between phonographic cardiac function and uterine artery resistance index(RI)in pregnant women with hypertension of different conditions during pregnancy by color Doppler ultrasonically.Methods A total of 100 pregnant women with gestational hypertension admitted to Lishui People′s Hospital from January 2020 to February 2021 were selected and divided into gestational hypertension group(40 cases),mild pre-eclampsia group(30 cases)and severe pre-eclampsia group(30 cases)according to the severity of their disease.Another 30 normal pregnant women who underwent physical examination during the same period were selected as the control group.The left ventricular function parameters isovolumetric relaxation time(IVRT),left ventricular ejection fraction(LVEF),left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),left atrial volume index(LAVI)and uterine arter RI in 4 groups were quantitatively analyzed by ultrasound during 28 to 38 weeks of gestation.The correlation between cardiac ultrasound parameters and of pregnant women RI were analyzed.Results As the severity of the disease,the levels of IVRT,LVEDV,LVESV,LAVI were gradually rised,and the level of LVEF was gradually decreased,there were significant differences among the 4 groups(P<0.05).The uterine arter RI in the control group,gestational hypertension group,mild pre-eclampsia group and severe pre-eclampsia group was 0.42±0.04,0.50±0.05,0.54±0.11,0.58±0.06,there was significant difference(F=34.11,P<0.001),and as the severity of the disease,the level of uterine arter RI was gradually rised,there were significant differences among the 4 groups(P<0.05).Pearson correlation analysis showed that IVRT had certain correlation with RI in the 4 groups(r=0.331,0.450,0.531,0.582;P<0.05).In mild and severe pre-eclampsia group,there were a certain correlation between LVEDV,LVESV and RI(in mild pre-eclampsia group:r=0.360 and 0.411,P<0.05;in severe pre-eclampsia group:r=0.383 and 0.451,P<0.05).Conclusions T

关 键 词：高血压 妊娠性 超声心动描记术 多普勒 子宫动脉 阻力指数 

分 类 号：R714.246[医药卫生—妇产科学] R445.1[医药卫生—临床医学]