主动脉峡部收缩指数联合胎心监护对妊娠期高血压疾病孕妇胎儿宫内缺氧的预测价值  

Predictive value of aortic isthmus systolic index combined with fetal heart monitoring in fetal intrauterine hypoxia of pregnant women with hypertensive disorder complicating pregnancy

作　　者：曹文芳 徐宁 CAO Wenfang;XU Ning(Ultrasound Department,Xi'an People's Hospital/Xi'an Fourth Hospital,Xi'an 710004,China)

机构地区：[1]西安市人民医院/西安市第四医院超声科,陕西西安710004

出　　处：《临床医学研究与实践》2024年第31期95-98,共4页Clinical Research and Practice

摘　　要：目的探究主动脉峡部(AoI)收缩指数联合胎心监护对妊娠期高血压疾病(HDCP)孕妇胎儿宫内缺氧的预测价值。方法选取2020年1月至2022年12月在本院就诊且完成分娩的120例HDCP孕妇为研究对象,依据胎儿是否出现宫内缺氧将其分为对照组(无宫内缺氧,89例)和观察组(宫内缺氧,31例)。孕妇产前均接受胎心监护无应激试验(NST),且采用彩色多普勒超声诊断仪测定AoI收缩指数。比较两组的胎心监护结果和AoI收缩指数;分析胎心监护、AoI收缩指数及两者联合对HDCP孕妇胎儿宫内缺氧的预测效能。结果观察组的胎心监护异常率显著高于对照组(P<0.05);观察组的AoI收缩指数显著低于对照组(P<0.05)。胎心监护预测HDCP孕妇胎儿宫内缺氧结果与临床诊断结果的一致性一般(Kappa=0.556)。受试者工作特征曲线(ROC)曲线分析显示,AoI收缩指数对HDCP孕妇胎儿宫内缺氧发生具有一定预测价值,且AoI收缩指数联合胎心监护的预测效能明显高于AoI收缩指数(P<0.05)。结论AoI收缩指数联合胎心监护能有效提高HDCP孕妇胎儿宫内缺氧的预测价值。Objective To explore the predictive value of aortic isthmus(AoI)systolic index combined with fetal heart monitoring in fetal intrauterine hypoxia of pregnant women with hypertensive disorder complicating pregnancy(HDCP).Methods A total of 120 HDCP pregnant women who visited in our hospital and completed delivery from January 2020 to December 2022 were selected as the research objects.According to whether the fetus had intrauterine hypoxia,the pregnant women were divided into control group(no intrauterine hypoxia,89 cases)and observation group(intrauterine hypoxia,31 cases).All pregnant women received non-stress test(NST)of fetal heart monitoring before delivery,and AoI systolic index was measured by color Doppler ultrasound.The results of fetal heart monitoring and AoI systolic index were compared between the two groups;the predictive efficacy of fetal heart monitoring,AoI systolic index and their combination on fetal intrauterine hypoxia of pregnant women with HDCP were analyzed.Results The abnormal rate of fetal heart monitoring in the observation group was significantly higher than that in the control group(P<0.05);the AoI systolic index of the observation group was significantly lower than that of the control group(P<0.05).The results of fetal heart monitoring in predictingfetal intrauterine hypoxia of pregnant women with HDCP were generally consistent with the results of clinical diagnosis(Kappa=0.556).Receiver operating characteristic(ROC)curve analysis showed that AoI systolic index had a certain predictive value for the occurrence of fetal intrauterine hypoxia of pregnant women with HDCP,and the predictive efficacy of AoI systolic index combined with fetal heart monitoring was significantly higher than that of AoI systolic index(P<0.05).Conclusion AoI systolic index combined with fetal heart monitoring can effectively improve the predictive value of fetal intrauterine hypoxia of pregnant women with HDCP.

关 键 词：妊娠期高血压疾病 宫内缺氧 胎心监护 主动脉峡部收缩指数 

分 类 号：R714.5[医药卫生—妇产科学]