静脉导管、脐静脉和脐动脉及大脑中动脉血流检测对子痫前期胎儿预后分析

来源 :现代妇产科进展 | 被引量 : 0次 | 上传用户:VIPYJS
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:探讨子痫前期(PE)胎儿静脉导管(DV)、脐静脉(UV)和脐动脉(UA)及大脑中动脉(MCA)血流检测对围生儿预后分析。方法:应用彩色多普勒超声检测PE胎儿的DV、UV和UA及MCA血流参数,并与相应孕周正常妊娠胎儿的血流测值进行对照分析,研究分析其与胎儿不良结局的关系。结果:28~31+6周及36周~分娩前,重度PE胎儿的DV、UV血流测值较正常、轻度PE胎儿升高(P<0.05),轻度PE与正常胎儿比较差异无统计学意义(P>0.05)。32周~35+6周,PE胎儿的DV血流参数测值PLI、PVIV、PIV及Qdv/Quv随着PE严重程度呈上升趋势(P<0.05)。28周~分娩前,重度PE胎儿UA血流测值较正常、轻度PE胎儿升高(P<0.05),轻度PE胎儿UA血流测值RI、PI、S/D与正常胎儿比较差异无统计学意义(P>0.05),28~36周PE胎儿的MCA血流测值RI、PI、S/D与正常胎儿比较差异有统计学意义(P<0.05)。PE胎儿DV、UV、UA血流测值与新生儿的出生体重、Apgar评分、脐动脉血氧饱和度、脐静脉p H值呈负相关。PE胎儿DV的PVIV、PIV,UV的Qdv/Quv,UA的PI、S/D和MCA的RI值与新生儿出生结局相关(P<0.05)。结论:DV、UV血流频谱变化可反映PE胎儿宫内状况及预测出生不良结局,若结合UA、MCA血流频谱进行联合分析,将能更准确地评估胎儿的宫内状况。 Objective: To investigate the prognosis of perinatal infants in preeclamptic (PE) fetal blood flow detection of fetal venous catheter (DV), umbilical vein (UUVA) and middle cerebral artery (MCA) Methods: The blood flow parameters of DV, UV, UA and MCA in PE fetus were detected by color Doppler ultrasonography. The blood flow parameters were compared with those of fetus with normal gestational age. The relationship between fetal and fetal adverse outcomes was analyzed. Results: The DV and UV blood flow of pre-delivery and severe PE fetuses were significantly higher than those of normal and mild PE fetuses at 28-31 + 6 weeks and 36 weeks (P <0.05). There was no difference between mild PE and normal fetuses Statistical significance (P> 0.05). From 32 weeks to 35 + 6 weeks, the parameters of DV flow in PE fetus PLI, PVIV, PIV and Qdv / Quv increased with the severity of PE (P <0.05). Before 28th week, the blood flow of UA in severe PE fetus was higher than that in normal and mild PE fetuses (P <0.05). The RI, PI, S / D of UA in mild PE fetuses were significantly lower than those in normal fetuses There was no significant difference between the two groups (P> 0.05). The RI, PI, S / D of fetus with PE fetuses at 28-36 weeks were significantly different from those of normal fetuses (P <0.05). PE fetal DV, UV, UA blood flow measurements and newborn birth weight, Apgar score, umbilical arterial oxygen saturation, umbilical vein p H value was negatively correlated. The RI values ​​of PVIV, PIV, UV Qdv / Quv, UA PI, S / D and MCA in PE fetuses were correlated with the neonatal outcome (P <0.05). Conclusion: The change of DV and UV blood flow can reflect the status of fetal intrauterine growth and predict the unfavorable outcome. If combined with UA and MCA flow spectrum, the intrauterine status of fetus will be evaluated more accurately.
其他文献
随着政务微博的兴起,政府通过微博与民众互动成为官民沟通的一种创新形式。政府微博具有获取民众诉求的便捷性、回应效果的扩散性以及回应形式多样化的优点。但政府微博并未
国际足联有意将室内“五人制”足球列为2008年奥运会正式比赛项目,中国足球协会已经充分认识到其巨大市场潜力而正设法在全国推进。“五人制"足球的技术更加细腻,极具观赏性
副语言和语言一样具有任意性.任意性指的是"能指和所指的联系是任意的",这种任意的联系一旦为人们长期认同、接受,便要构成文化的一个重要组成部分.又由于地域等因素的限制,
第一部分MicroRNA-200a在心脏纤维化的调控机制目的:心房颤动(房颤)是临床上常见的一种心律失常,显著增加发病率和死亡率,造成极大的社会经济负担。房颤的发病机制十分复杂,
<正>脑血管意外大多发生在中老年人,其致残率甚高,据统计约为86.5%,对社会和家庭造成很大负担,而传统的方法只有药物、手术治疗。许多病人因为没有早期进行功能锻炼及卧位不能
会议
目的了解医学院校学生的生存质量及其相关影响因素,为采取相应的干预措施提供依据。方法采用分层整群抽样方法抽取安徽医科大学的2 386名在校学生进行生活质量状况及影响因素
目的探究半夏白术天麻汤合泽泻汤治疗高血压的临床效果.方法84例高血压患者,依据随机数字表法分为对照组和观察组,各42例.对照组给予常规西药治疗,观察组在对照组基础上给予
利用菌株A生长繁殖过程中产生的酶化作用,适时引入Ca^2+,24h内顺利沉积出直径小于10μm的球形CaCO3,经XRD分析证实为方解石晶型.改变若干环境反应条件,如pH、温度、Ca^2+浓度、Ca^2+
“雾培法”有效解决了原原种生产过程中的“瓶颈”问题,对促进甘肃省马铃薯种薯产业高质量发展意义重大。
课堂实践考察表明,当前化学概念教学中以"规训"为主。主要原因是教学时忽视了学生已有的知识基础和生活经验,无视概念形成的历程,忽略学生的思维过程,教师代替学生对知识进行