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目的探讨脐动脉及子宫动脉血流彩色多普勒超声检测在妊娠期高血压疾病(HDCP)诊治中的应用价值。方法以该院2015年9月-2016年12月收治的175例HDCP孕妇为研究对象,设为研究组;以同期160例正常妊娠孕妇作为对照,设为健康组。采用彩色多普勒超声检测两组孕妇胎儿脐动脉及子宫动脉的血流搏动指数(PI)、阻力指数(RI)、收缩期与舒张期流速比(S/D),分析比较妊娠中的相关指标及妊娠结局。结果研究组子宫动脉及胎儿脐动脉PI、RI、S/D值均高于健康组(均P<0.05);研究组胎儿生长受限率、宫内窘迫率、早产率、剖宫产率及新生儿窒息率高于健康组(均P<0.05)。结论彩色多普勒超声能够准确地检测HDCP孕妇中晚期子宫动脉及脐动脉PI、RI、S/D变化,准确评估胎儿宫内情况,及早发现异常状况,对减少并发症的发生,提高围生儿质量具有重要意义。
Objective To investigate the diagnostic value of umbilical artery and uterine artery flow color Doppler ultrasonography in the diagnosis and treatment of hypertensive disorders of pregnancy (HDCP). Methods A total of 175 pregnant women with HDCP admitted from September 2015 to December 2016 in our hospital were enrolled in this study. The study group included 160 pregnant women with normal pregnancy as control group and a healthy group. The color Doppler ultrasound was used to detect the blood flow index (PI), resistance index (RI), systolic and diastolic flow velocity ratio (S / D) of umbilical artery and uterine artery in two groups of pregnant women. Indicators and pregnancy outcomes. Results The PI, RI and S / D values of uterine artery and fetal umbilical artery in the study group were significantly higher than those in the healthy group (all P <0.05). The fetal growth restriction rate, intrauterine distress rate, preterm birth rate, cesarean section rate, Neonatal asphyxia rate was higher than that of healthy group (all P <0.05). Conclusions Color Doppler ultrasound can accurately detect the change of PI, RI and S / D in middle and late stage uterine arteries and umbilical arteries of HDCP pregnant women and accurately evaluate intrauterine conditions and detect abnormalities as early as possible to reduce the incidence of complications and improve perinatal Children’s quality is of great importance.