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目的对湖北省公安县260例妊娠期高血压疾病孕妇的胎儿超声心动图进行调查分析,探究其临床价值。方法选择2013年5月至2015年5月湖北省公安县妇幼保健院收治的260例妊娠期高血压孕妇为观察组,另选同期90例血压正常孕妇为对照组。应用超声心动图观察胎儿心脏运动相应指标。结果观察组胎儿的二尖瓣环和尖瓣环的Ea、Aa、Sa、E/A和Em/Am低于相同孕周血压正常的孕妇组,观察组胎儿的心率、DV-PI、DV-RI和孕妇的左右心室Tei指数高于对照组,差异均有统计学意义(P<0.05)。结论超声心动图检查结合心脏Tei指数可有效评估胎儿的二尖瓣环、三尖瓣环运动速度差异和静脉导管血流情况,从而判断心脏功能的改变,为治疗和预后提供依据。
Objective To investigate the fetal echocardiography of 260 pregnant women with hypertensive disorder complicating pregnancy in Public Security County, Hubei Province, and to explore their clinical value. Methods From May 2013 to May 2015, 260 pregnant women with hypertensive disorder complicating pregnancy were selected as observation group and 90 pregnant women with normal blood pressure as the control group. Application of echocardiography to observe the corresponding indicators of fetal cardiac motion. Results The Ea, Aa, Sa, E / A and Em / Am of the mitral annulus and mitral annulus of the observation group were lower than those of the same gestational week. The heart rate, DV-PI and DV- The Tei index of left ventricle and right ventricle in RI and pregnant women were higher than those in control group (P <0.05). Conclusion Echocardiography combined with heart Tei index can effectively evaluate the fetal mitral annulus, tricuspid annulus movement velocity and venous catheter blood flow to determine changes in cardiac function, and provide the basis for the treatment and prognosis.