出 处:《临床医学研究与实践》2025年第5期9-12,共4页Clinical Research and Practice
摘 要:目的研究超声子宫动脉血流参数、胎儿静脉导管参数与妊娠高血压综合征孕妇妊娠结局的关系,以期为妊娠高血压综合征孕妇妊娠结局的预测提供参考。方法选取2020年1月至2023年6月我院收治的88例妊娠高血压综合征孕妇作为研究对象,按照是否发生不良妊娠结局将其分为结局不良组和结局良好组。比较两组的基线资料、孕妇超声子宫动脉血流参数及胎儿静脉导管参数;分析影响妊娠高血压综合征孕妇妊娠结局不良的危险因素。结果88例妊娠高血压综合征孕妇中,有41例结局不良,47例结局良好。结局不良组的多胎妊娠史、肾炎史及家族史占比均高于结局良好组,差异具有统计学意义(P<0.05)。结局不良组孕妇的阻力指数(RI)、搏动指数(PI)及收缩末期最大血流速度/舒张末期最大血流速度(S/D)均大于结局良好组,差异具有统计学意义(P<0.05)。结局不良组胎儿的心室收缩期峰值流速(S)、心房收缩期波谷流速(A)小于结局良好组,S/A大于结局良好组,差异具有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,多胎妊娠史、肾炎史、家族史、RI升高、PI升高、S/D升高、S降低、A降低及S/A升高是妊娠高血压综合征孕妇妊娠结局不良的危险因素(P<0.05)。结论超声子宫动脉血流参数、胎儿静脉导管参数均与妊娠高血压综合征孕妇的妊娠结局不良有关。Objective To study the relationship between ultrasound uterine artery blood flow parameters,fetal venous catheter parameters and pregnancy outcome of pregnant women with pregnancy-induced hypertension,in order to provide reference for the prediction of pregnancy outcome of pregnant women with pregnancy-induced hypertension.Methods A total of 88 pregnant women with pregnancy-induced hypertension admitted in our hospital from January 2020 to June 2023 were selected as the research objects.The pregnant women were divided into poor outcome group and good outcome group according to whether adverse pregnancy outcomes occurred or not.The baseline data,ultrasound uterine artery blood flow parameters of pregnant women and fetal venous catheter parameters were compared between the two groups;the risk factors of adverse pregnancy outcomes in pregnant women with pregnancy-induced hypertension were analyzed.Results Of the 88 pregnant women with pregnancy-induced hypertension,41 cases had poor outcomes and 47 cases had good outcomes.The proportion of multiple pregnancy history,nephritis history and family history in the poor outcome group were higher than those in the good outcome group,and the differences were statistically significant(P<0.05).The resistant index(RI),pulsatility index(PI)and end-systolic maximum blood flow rate/end-diastolic maximum blood flow rate(S/D)of the pregnant women in the poor outcome group were higher than those in the good outcome group,and the differences were statistically significant(P<0.05).The ventricular peak systolic velocity(S)and atrial systolic valley flow velocity(A)of the fetus in the poor outcome group were smaller than those in the good outcome group,and the S/A was larger than that in the good outcome group,the differences were statistically significant(P<0.05).Multivariate Logistic regression analysis results showed that multiple pregnancy history,nephritis history,family history,increased RI,increased PI,increased S/D,decreased S,decreased A and increased S/A were risk factors for
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