经阴道超声综合评分预测前置胎盘阴道出血及早产的应用价值  

Application Value of Transvaginal Ultrasound Comprehensive Score in Predicting Placenta Previa Vaginal Bleeding and Premature Delivery

作　　者：聂玲玻 赖梅平 王雁丽[1] NIE Lingbo;LAI Meiping;WANG Yanli(Department of Ultrasound,Songgang People’s Hospital,Bao’an District,Shenzhen City,Shenzhen Guangdong 518105,China)

机构地区：[1]深圳市宝安区松岗人民医院超声科,广东深圳518105

出　　处：《中国卫生标准管理》2023年第7期22-25,共4页China Health Standard Management

基　　金：广东省深圳市宝安区科技计划项目(20210508181933001)。

摘　　要：目的探讨经阴道超声综合评分预测前置胎盘阴道出血及早产的应用价值。方法选取2021年5月—2022年9月于深圳市宝安区松岗人民医院产科建档检查并分娩的50例前置胎盘孕妇为本次研究的对象,平均年龄(33.68±2.86)岁,平均分娩孕周为(36.25±1.08)周,根据产前超声评分分为高危组和低危组。观察并记录两组新生儿和产妇妊娠结局,主要包括新生儿出生体质量、Apgar评分、新生儿窒息情况等;观察记录两组产妇阴道出血量、分娩孕周、产后24 h出血量、感染发生情况等。结果高危组产妇27例,低危组产妇23例,两组一般资料比较均差异无统计学意义(P>0.05),具有可比性。高危组新生儿出生体质量为(2.49±0.57)kg,Apgar评分为(4.38±0.71)分,低于低危组,同时高危组新生儿窒息发生率为33.33%,高于低危组;高危组阴道出血量为(106.22±34.47)mL,产后24 h出血量为(839.73±212.35)mL,感染率为22.22%,均高于低危组;并且高危组分娩孕周为(35.12±0.68)周,短于低危组的(38.35±0.49)周,差异有统计学意义(P<0.05)。结论阴道超声评分有助于预测前置胎盘产妇产前出血和早产情况,对新生儿结局和产妇妊娠结局具有极其重要的意义。Objective To investigate the application value of transvaginal ultrasound comprehensive score in predicting placenta previa vaginal bleeding and premature delivery.Methods A total of 50 pregnant women with placenta previa who were examined and delivered in department of obstetrics,Songgang People’s Hospital,Bao’an District,Shenzhen City from May 2021 to September 2022 were selected as the research subjects of this study,with an average age of(33.68±2.86)years and an average gestational age of(36.25±1.08)weeks,and were divided into high-risk group and low-risk group according to prenatal ultrasound score.The neonatal and maternal pregnancy outcomes of the two groups were observed and recorded,mainly including neonatal birth weight,Apgar score,neonatal asphyxia,etc.The vaginal bleeding,gestational weeks of delivery,postpartum 24 h bleeding,Infections,etc.Results There were 27 puerperae in the high-risk group and 23 in the low-risk group.There was no difference in the general data between the two groups(P>0.05),which was comparable.The birth weight of newborns in the high-risk group was(2.49±0.57)kg,and the Apgar score was(4.38±0.71)points,which was lower than that in the low-risk group.At the same time,the incidence of neonatal asphyxia in the high-risk group was 33.33%,which was higher than that in the low-risk group.The amount of vaginal bleeding in the high-risk group was(106.22±34.47)mL,the amount of postpartum hemorrhage was(839.73±212.35)mL,and the infection rate was 22.22%,which were higher than those in the low-risk group;and the delivery cycle of the high-risk group was(35.12±0.68)weeks,which was shorter than that of the low-risk group(38.35±0.49)weeks,and the differences were statistically significant(P<0.05).Conclusion Vaginal ultrasound scores can help predict antepartum hemorrhage and preterm birth in women with placenta previa,and have extremely important implications for neonatal outcomes and maternal pregnancy outcomes.

关 键 词：阴道超声 产前超声评分 前置胎盘 早产 阴道出血 新生儿 

分 类 号：R445[医药卫生—影像医学与核医学]