NST联合脐动脉S/D值预测子痫前期胎儿宫内窘迫  

Predictive value of NST combined with umbilical artery S/D value for fetal intrauterine distress in patients with preeclampsia

作　　者：姚轶 许荣华 马红星 Yao Yi;Xu Ronghua;Ma Hongxing(Department of Obstetrics and Gynecology,Anhui Maternal and Child Health Hospital,Hefei 230001,Anhui,China)

机构地区：[1]安徽省妇幼保健院妇产科,安徽合肥230001

出　　处：《现代科学仪器》2023年第4期93-96,共4页Modern Scientific Instruments

摘　　要：目的:探讨胎心监护(NST)联合胎儿脐动脉血流收缩期峰值S/D值对子痫前期宫内窘迫胎儿的预测价值。方法:选取99例子痫前期患者,分为宫内窘迫组和无宫内窘迫组。记录胎心监护指标和脐动脉血流动力学;Kappa一致性分析应用价值。结果:宫内窘迫组患者胎儿的S/D值、RI和PI值均明显较高,NST例数明显较少,无反应型NST例数明显较多(P<0.05);联合诊断的灵敏度为0.967,特异度为0.986,Kappa值为0.968。结论:临床可通过联合诊断预测胎儿宫内窘迫,对高风险人群进行及时干预,确保母婴安全。Objective:To explore the predictive value of non-stress test(NST)combined with S/D value for fetal intrauterine distress in preeclampsia patients.Methods:A total of 99 patients with preeclampsia were enrolled and divided into distress group and non-distress group.The fetal heart rate monitoring indexes and umbilical artery hemodynamics were recorded,and their application value was analyzed by Kappa consistency test.Results:Compared with non-distress group,fetal S/D value,RI and PI were significantly greater,number of NST cases was significantly less,and number of cases with nonreactive NST was significantly more in distress group(P<0.05).The sensitivity,specificity and Kappa value of combined detection were 0.967,0.986 and 0.968,respectively.Conclusion:Clinically,combined diagnosis can be applied to predict fetal intrauterine distress.Timely intervention can be taken for high-risk groups to ensure maternal and neonatal safety.

关 键 词：胎心监护 子痫前期 胎儿宫内窘迫 S/D值 应用价值 

分 类 号：R714.244[医药卫生—妇产科学]