论文部分内容阅读
目的探讨子痫前期患者胎儿大脑中动脉血流动力学变化与围产儿结局的关系。方法对120例正常患者及103例子痫前期患者胎儿的大脑中动脉(MCA)进行彩色多普勒超声检测,记录两组胎儿大脑中动脉血流指标,测量并记录两组胎儿生长发育情况。结果子痫前期组患者胎儿大脑中动脉各血流指标(S/D、RI、PI)值均低于对照组。重度子痫前期患者围产儿生长发育受限,各项指标测值均明显小于对照组,与对照组比较差异有统计学意义(P<0.05)。结论通过子痫前期时胎儿大脑中动脉血流指标变化来评估子痫前期特别是重度子痫前期围产儿结局,为临床采取有效治疗方案提供科学依据,降低围产儿发病率及不良妊娠结局的发生。
Objective To investigate the relationship between fetal hemodynamics and fetal outcome in preeclampsia. Methods Color Doppler echocardiography was performed on the middle cerebral artery (MCA) in 120 normal subjects and 103 preeclampsia fetuses. The fetal middle cerebral artery blood flow indexes were recorded and the fetal growth and development were measured and recorded. Results The values of S / D, RI and PI in fetal middle cerebral artery were lower in preeclampsia group than in control group. Perinatal growth and development in patients with severe preeclampsia were limited, the measured values ?? were significantly less than the control group, compared with the control group, the difference was statistically significant (P <0.05). Conclusion The assessment of perinatal outcome in preeclampsia, especially in severe preeclampsia, is based on the changes of fetal cerebral artery blood flow index in preeclampsia and provide a scientific basis for effective clinical treatment to reduce the incidence of perinatal and adverse pregnancy outcomes .