妊娠晚期感染新型冠状病毒孕妇胎儿产前多普勒超声检查及妊娠结局分析  

Analysis of fetal prenatal Doppler ultrasound examination and pregnancy outcome in pregnant women with late gestational SARS-CoV-2 infection

作　　者：张娟[1] 张红彬[1] 李洁[1] 田捧[1] 栗河舟[1] ZHANG Juan;ZHANG Hongbin;LI Jie;TIAN Peng;LI Hezhou(Department of Ultrasound,the Third Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)

机构地区：[1]郑州大学第三附属医院超声科,郑州450052

出　　处：《郑州大学学报（医学版）》2024年第1期127-130,共4页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省医学适宜技术推广项目(SYJS2020080)。

摘　　要：目的:探讨妊娠晚期新型冠状病毒(SARS-CoV-2)感染孕妇的胎儿产前超声、多普勒检查结果及妊娠结局。方法:比较42例确诊轻度SARS-CoV-2感染的妊娠晚期孕妇和103例阴性孕妇产前超声、多普勒血流、胎儿出生体重、出生孕周、生产方式、妊娠结局、孕妇并发症及新生儿情况的差异。结果:SARS-CoV-2感染孕妇较阴性孕妇妊娠期BMI升高,胎儿大脑中动脉搏动指数和脑胎盘比减小,产前胎心异常及子痫前期发生率升高(P<0.05)。结论:轻度SARS-CoV-2感染孕妇并不存在较高的胎儿生长受限风险。Aim:To investigate the fetal prenatal ultrasound,Doppler findings and pregnancy outcomes in pregnant women with late gestational novel coronavirus(SARS-CoV-2)infection.Methods:Retrospective analysis of 42 pregnant women diagnosed with SARS-CoV-2 infection in late pregnancy and 103 pregnant women not being diagnosed with SARS-CoV-2 infection(control)were analyzed in terms of prenatal ultrasound,Doppler flow,fetal birth weight,gestational week of birth,mode of delivery,pregnancy outcome,maternal comorbidities,and prognosis of the newborns.Results:Compared with control,the BMI of SARS-CoV-2 infection women increased,middle cerebral artery pulsatility index and cerebroplacental ratio decreased,and the incidence rates of prenatal fetal heart abnormalities and preeclampsia increased(P<0.05).Conclusion:There is no higher risk for fetal growth restriction for pregnant women diagnosed with common type COVID-19 infection.

关 键 词：新型冠状病毒 胎儿多普勒超声检查 妊娠结局 

分 类 号：R714.43[医药卫生—妇产科学] R742[医药卫生—临床医学]