NST联合超声参数对单胎高危妊娠产妇不良妊娠结局的评估价值  

The Value of NST Combined with Ultrasound Parameters in Evaluating the Adverse Pregnancy Outcomes of Singleton High-Risk Pregnant Women

作　　者：贾苗 李娜 肖玲 何金秀 JIA Miao;LI Na;XIAO Ling(Department of Obstetrics,Hanzhong Central Hospital,Hanzhong Shaanxi 723000)

机构地区：[1]陕西省汉中市中心医院产科,陕西汉中723000 [2]陕西省汉中市南郑区人民医院妇产科,陕西汉中723100

出　　处：《医学临床研究》2023年第10期1448-1451,共4页Journal of Clinical Research

基　　金：陕西省自然科学发展项目(编号:XZ-4213H)。

摘　　要：【目的】探讨无应激胎心监护(NST)联合超声参数对单胎高危妊娠产妇的不良妊娠结局的评估价值。【方法】选取陕西省汉中市中心医院2019年12月至2021年12月收治的150例单胎高危妊娠产妇(观察组),选择同期在陕西省汉中市中心医院定期产检的150例正常妊娠产妇为对照组,两组产妇均在产前行NST和超声检查。以两组产妇妊娠结局为金标准,分析NST和超声检查与两组产妇不良妊娠结局的符合情况,分析单胎高危妊娠产妇NST和超声检查诊断不良妊娠结局与最终妊娠结局的一致性及在单胎高危妊娠产妇不良妊娠结局中的诊断效能。【结果】观察组150例均成功分娩,其中不良妊娠结局43例(28.67%),包括羊水过少16例,胎儿窘迫5例,羊水污染8例,脐带绕颈3例,剖宫产11例;对照组150例均成功分娩,其中不良妊娠结局10例(6.67%),包括羊水过少2例,胎儿窘迫5例,剖宫产3例。观察组150例单胎高危妊娠产妇中,NST显示30例异常,超声显示32例异常,二者联合显示40例异常,符合率分别为69.77%、74.42%、93.02%;对照组150例正常妊娠产妇中,NST显示6例异常,超声显示7例异常,二者联合检查显示9例异常,符合率分别为60.00%、70.00%、90.00%。单胎高危妊娠产妇NST诊断结果与最终不良妊娠结局一致性一般(Kappa=0.587),超声检查诊断结果与最终不良妊娠结局一致性一般(Kappa=0.594),NST联合超声检查诊断结果与最终不良妊娠结局一致性较好(Kappa=0.802)。NST联合超声检查诊断单胎高危妊娠产妇不良妊娠结局的灵敏度、特异度、准确率、阳性预测值及阴性预测值均高于单一NST及超声检查,差异有统计学意义(P<0.05)。【结论】单独采用NST和超声检查评估单胎高危妊娠产妇的不良妊娠结局均有较好的价值,并且二者联合时可进一步提高诊断效能,值得临床推广使用。【Objective】To explore the value of non-stress fetal heart monitoring(NST)combined with ultrasound parameters in evaluating the adverse pregnancy outcomes of single high-risk pregnant women.【Methods】A total of 150 singleton high-risk pregnant women admitted to Hanzhong Central Hospital of Shaanxi Province from December 2019 to December 2021 were selected as the observation group,and 150 normal pregnant women during the same period were selected as the control group.NST and ultrasound were performed before delivery.Taking the pregnancy outcomes of the two groups of pregnant women as the gold standard,the diagnostic coincidence of non-stress fetal heart rate monitoring and ultrasound examination for the adverse pregnancy outcomes of the two groups of pregnant women was analyzed.The consistency of non-stress fetal heart rate monitoring and ultrasound examination in the diagnosis of adverse pregnancy outcomes and final pregnancy outcomes in singleton high-risk pregnant women was analyzed.The diagnostic efficacy of non-stress fetal heart rate monitoring and ultrasound examination in the adverse pregnancy outcomes of singleton high-risk pregnant women was analyzed.【Results】A total of 150 cases in the observation group were successfully delivered,including 43 cases of adverse pregnancy outcomes(28.67%),including 16 cases of oligohydramnios,5 cases of fetal distress,8 cases of amniotic fluid pollution,3 cases of umbilical cord around the neck,11 cases of cesarean section;in the control group,150 cases were successfully delivered,including 10 cases of adverse pregnancy outcomes(6.67%),including 2 cases of amniotic fluid,5 cases of fetal distress,and 3 cases of cesarean section.Among 150 cases of singleton high-risk pregnant women in the observation group,30 cases were abnormal in non-stress fetal heart monitoring,32 cases were abnormal in ultrasound,and 40 cases were abnormal in the combination of the two.The coincidence rates were 69.77%,74.42%and 93.02%,respectively.Among the 150 normal pregnant women in the

关 键 词：妊娠 高危 胎儿监测 超声检查 产前 妊娠结局 

分 类 号：R714.21[医药卫生—妇产科学]