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目的探讨子宫动脉多普勒超声检查对妊娠期高血压疾病患者妊娠不良结局的预测价值。方法 143例妊娠期高血压疾病患者根据子宫动脉多普勒检查结果分为正常组77例与异常组66例,对比两组患者妊娠结局;并以不良妊娠结局为因变量,尿蛋白、高血压、子宫动脉彩色多普勒超声为自变量建立Logistic回归模型进行Logistic回归分析。结果异常组患者终止妊娠时间显著短于正常组,异常组新生儿出生体重显著低于正常组,早产率及FGR发生率显著高于正常组,差异均有统计学意义(P<0.01)。Logistic回归分析发现3项指标中仅子宫动脉多普勒检查结果是能够对不良妊娠结局进行预测的指标。结论子宫动脉多普勒超声检查对妊娠期高血压疾病患者的妊娠结局具有重要的预测价值,可根据早期子宫动脉彩色多普勒检查结果对患者进行相应的医学干预,以降低不良妊娠结局的发生率。
Objective To investigate the predictive value of uterine arterial Doppler ultrasonography in the detection of adverse pregnancy outcomes in patients with hypertensive disorders of pregnancy. Methods According to the results of uterine artery Doppler examination, 143 cases of hypertensive disorder complicating pregnancy were divided into normal group (n = 77) and abnormal group (n = 66), and the pregnancy outcome was compared between the two groups. The prevalence of adverse pregnancy was used as dependent variable, urinary protein, , And uterine artery color Doppler ultrasound as independent variables to establish Logistic regression model for Logistic regression analysis. Results The termination of pregnancy was significantly shorter in patients with abnormal group than those in normal group. The birth weight of neonates in abnormal group was significantly lower than that in normal group. The preterm birth rate and the incidence of FGR were significantly higher than those in normal group (P <0.01). Logistic regression analysis revealed that only the result of uterine artery Doppler examination among the three indexes was an index that could predict the outcome of adverse pregnancy. Conclusion Uterine artery Doppler ultrasound examination of pregnancy outcome in patients with hypertensive disorders of pregnancy has an important predictive value, according to the results of early uterine artery color Doppler examination of patients with appropriate medical intervention to reduce the incidence of adverse pregnancy outcomes rate.