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目的:探讨脐血流监测预测HELLP综合征患者围产儿不良结局的临床意义。方法:选取20例胎儿脐血流异常,即S/D≥2.7的HELLP综合征患者纳入研究组,27例胎儿脐血流正常的HELLP综合征患者纳入对照组,对比两组新生儿Apgar评分、NICU住院率、显著新生儿发病率、新生儿死亡率。结果:研究组Apgar评分为5~7分的新生儿与对照组比较,差异无统计学意义(P>0.05);研究组NICU住院率、显著新生儿发病率、新生儿死亡率较对照组高,差异有统计学意义(P<0.05)。结论:胎儿脐血流监测在预测HELLP综合征围生儿不良结局方面有重要意义。
Objective: To investigate the clinical significance of umbilical cord blood flow monitoring in predicting perinatal adverse outcomes in patients with HELLP syndrome. Methods: Twenty cases of abnormal fetal cord blood flow were included in the study, including HELLP syndrome with S / D≥2.7. 27 HELLP syndrome patients with normal umbilical cord blood flow were included in the control group. Apgar score, NICU hospitalization rate, significant neonatal morbidity, neonatal mortality. Results: There was no significant difference in neonates with Apgar scores of 5 to 7 in the study group compared with the control group (P> 0.05). The NICU hospitalization rate, significant neonatal morbidity and neonatal mortality in the study group were higher than those in the control group , The difference was statistically significant (P <0.05). CONCLUSION: Fetal umbilical cord blood flow monitoring is important in predicting perinatal adverse outcomes in HELLP syndrome.