彩超检测妊娠中晚期子宫动脉血流频谱在妊娠高血压综合征中的应用价值  

Application Value of Uterine Artery Blood Flow Spectrum Detected by Color Doppler Ultrasound in Pregnancy-induced Hypertension Syndrome

作　　者：张敏 霍娜娜 王建伟[1] ZHANG Min;HUO Na'na;WANG Jianwei(Department of Ultrasound Medicine,Zaozhuang Maternal and Child Health Hospital,Zaozhuang,Shandong Province,277000 China;Prenatal Control of Zaozhuang Maternal and Child Health Hospital,Zaozhuang,Shandong Province,277000 China)

机构地区：[1]枣庄市妇幼保健院超声医学科,山东枣庄277000 [2]枣庄市妇幼保健院产前管控,山东枣庄277000

出　　处：《世界复合医学》2023年第4期23-26,共4页World Journal of Complex Medicine

摘　　要：目的分析诊疗与预测妊娠高血压综合征时应用彩超检测妊娠中晚期子宫动脉血流频谱的临床价值。方法随机采集2020年6月—2022年8月150例来自枣庄市妇幼保健院妊娠高血压综合征患者的临床资料,并设置为观察组,其中包括40例妊娠期高血压孕妇、60例子痫前期孕妇以及50例子痫期孕妇;为便于观察应用价值,随机抽选同期同数量来本院接受常规检查的妊娠中晚期健康孕妇作为参照组,观察并记录两组受检者与观察组中不同类型病症患者动脉搏动指数(PI)、阻力指数(RI)以及胎儿脐动脉收缩压与舒张压比值(S/D)。结果观察组患者RI(1.34±0.15)、PI(0.66±0.07)以及S/D(3.08±0.37)水平分别高于参照组的(1.05±0.15)、(0.55±0.06)、(2.16±0.30),差异有统计学意义(t=16.74、14.61、23.65,P<0.05);同妊娠高血压患者相比,子痫前期患者与子痫患者PI、RI、S/D值更高,差异有统计学意义(P<0.05);同子痫前期患者相比,子痫患者的PI、RI、S/D值更高,差异有统计学意义(P<0.05)。结论加强妊娠中晚期孕妇筛查,做好彩超检测子宫动脉血流频谱检测,能够有效预测与鉴别妊娠高血压综合征患者,临床应用价值较高。Objective To analyze the clinical value of using color Doppler ultrasound to detect uterine artery blood flow spectrum in the middle and late pregnancy in the diagnosis,treatment and prediction of pregnancy-induced hypertension syndrome.Methods The clinical data of 150 patients with pregnancy-induced hypertension syndrome from Zaozhuang Maternal and Child Health Hospital from June 2020 to August 2022 were randomly collected and set as the observation group,including 40 pregnant women with gestational hypertension,60 pregnant women with preeclampsia and 50 pregnant women with preeclampsia.In order to observe the application value,the same number of healthy pregnant women in the middle and late stages of pregnancy who came to our hospital for routine examination were randomly selected as the reference group.The arterial pulsatility index(PI),resistance index(RI)and the ratio of systolic blood pressure to diastolic blood pressure(S/D)of fetal umbilical artery were observed and recorded in the two groups and the patients with different types of diseases in the observation group.Results The levels of RI(1.34±0.15),PI(0.66±0.07)and S/D(3.08±0.37)in the observation group were higher than those in the reference group(1.05±0.15),(0.55±0.06),(2.16±0.30),the difference was statistically significant(t=16.74,14.61,23.65,P<0.05);compared with gestational hypertension patients,the PI,RI and S/D values of preeclampsia patients and eclampsia patients were higher,and the difference was statistically significant(P<0.05).Compared with patients with preeclampsia,the PI,RI and S/D values of patients with preeclampsia were higher,and the difference was statistically significant(P<0.05).Conclusion Strengthening the screening of pregnant women in the middle and late stages of pregnancy,and doing a good job in the detection of uterine artery blood flow spectrum by color Doppler ultrasound can effectively predict and identify patients with pregnancy-induced hypertension syndrome.It has high clinical application value.

关 键 词：彩超检测 妊娠中晚期子宫动脉血流频谱 妊娠高血压综合征 应用价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]