心肌做功指数联合主动脉峡部血流指数对妊娠期高血压患者胎儿心功能的评估价值  

Evaluation value of myocardial work index combined with aortic isthmus blood flow index in fetal cardiac function in patients with gestational hypertension

作　　者：张楠楠[1] 周恒 李晓静 宛杨[2] ZHANG Nan-nan;ZHOU Heng;LI Xiao-jing(Department of Ultrasound,Fuyang People's Hospital,Fuyang Anhui 236000,China)

机构地区：[1]阜阳市人民医院超声科,安徽阜阳236000 [2]阜阳市人民医院妇产科,安徽阜阳236000

出　　处：《临床和实验医学杂志》2023年第10期1084-1087,共4页Journal of Clinical and Experimental Medicine

基　　金：安徽省自然科学基金(编号:2019B00185);阜阳市自筹经费科技项目(编号:FK202081046)。

摘　　要：目的探讨心肌做功指数(MPI)联合主动脉峡部血流指数(IFI)对妊娠期高血压(HDP)患者胎儿心功能的评估价值。方法前瞻性选取2021年3月至2022年11月阜阳市人民医院收治的105例HDP患者为研究组,以病情严重程度将其分成妊娠期高血压组38例、轻度子痫前期组35例、重度子痫前期组32例,另选取同院同时间血压监测正常的孕妇39例为对照组。比较研究组与对照组的一般资料,所有孕妇均接受多普勒超声检测MPI与IFI;比较妊娠期高血压组、轻度子痫前期组、重度子痫前期组、对照组MPI与IFI;分析MPI与IFI的相关性;分析MPI、IFI及二者联合检测对HDP患者胎儿心功能的评估价值。结果研究组与对照组患者年龄、孕周、体重指数比较,差异均无统计学意义(P>0.05)。研究组患者的舒张压、收缩压均明显高于对照组,差异均有统计学意义(P<0.05)。重度子痫前期组MPI明显高于轻度子痫前期组、妊娠期高血压组、对照组,轻度子痫前期组MPI明显高于妊娠期高血压组、对照组,妊娠期高血压组患者MPI明显高于对照组,差异均有统计学意义(P<0.05)。重度子痫前期组IFI明显低于轻度子痫前期组、妊娠期高血压组、对照组,轻度子痫前期组IFI明显低于妊娠期高血压组、对照组,妊娠期高血压组明显IFI低于对照组,差异均有统计学意义(P<0.05)。Pearson分析结果显示,MPI与IFI呈负相关(r=-0.482,P<0.05)。MPI、IFI二者联合检测评估HDP患者胎儿心功能异常的阳性率明显高于单独指标评估的阳性率,差异有统计学意义(P<0.05)。结论随着HDP疾病的进展,MPI明显升高,IFI明显降低,HDP患者的MPI与IFI密切相关,二者均可用于评估HDP患者的胎儿心功能,且二者联合的评估价值更高。Objective To investigate the value of myocardial work index(MPI)combined with aortic isthmus flow index(IFI)in evaluating fetal cardiac function in patients with pregnancy-induced hypertension(HDP).Methods A total of 105 HDP patients admitted to Fuyang People's Hospital from March 2021 to November 2022 were prospectively selected as the study group.They were divided into gestational hypertension group(38 cases),mild preeclampsia group(35 cases),and severe preeclampsia group(32 cases)based on the severity of the condition.Additionally,39 pregnant women with normal blood pressure monitoring at the same time in the same hospital were selected as the control group.The general data of the study group and the control group were compared,and all pregnant women underwent Doppler ultrasound testing for MPI and IFI.MPI and IFI were detected by Doppler ultrasound in all pregnant women.MPI and IFI were compared in gestational hypertension group,mild preeclampsia group,and severe preeclampsia group,the control group.The correlation between MPI and IFI was analyzed.The evaluation value of MPI,IFI and their combination in fetal cardiac function in HDP patients was analyzed.Results There was no statistically significant difference in age,gestational week,and body mass index between the study group and control group(P>0.05),and the diastolic blood pressure and systolic blood pressure in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The MPI of severe preeclampsia group was higher than those of mild preeclampsia group,gestational hypertension group and control group,the MPI of mild preeclampsia group was higher than that of gestational hypertension group and control group,MPI of gestational hypertension group was higher than that of control group,the differences were statistically significant(P<0.05).The IFI of severe preeclampsia group was lower than that of mild preeclampsia group,gestational hypertension group,and control group,the IFI of mild preeclampsia group

关 键 词：妊娠期高血压 胎儿心功能 心肌做功指数 主动脉峡部血流指数 评估价值 

分 类 号：R714.246[医药卫生—妇产科学]