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目的分析150例艾滋病感染孕妇孕28w以后其胎儿的头围、股骨长、腹围,从而探讨艾滋病感染孕妇其胎儿在宫内发育情况。方法采用二维及彩色多普勒超声对来院进行产前检查的所有孕妇进行认真仔细的胎儿检查,提取2007年1月至2012年1月孕28w以上的150例艾滋病感染孕妇其胎儿的检查结果和随机抽取同样孕周的150例未感染艾滋病的孕妇的胎儿用统一标准进行比较。结果 (1)头围≤第5百分位的例数:感染组96例,占总例数的64%,对照组6例,占总例数的4%;(2)股骨长≤第5百分位的例数:感染组21例,占总例数的14%,对照组3例,占总例数的2%;(3)腹围≤第5百分位的例数感染组42例,占总例数的28%,对照组9例,占总例数的6%;结论将感染艾滋病的孕妇孕晚期胎儿头围、腹围、股骨≤第5百分位例数的百分比与对照组进行比较,头围和腹围受影响较大,从而可以看出感染艾滋病的孕妇影响胎儿的出生体重。
Objective To analyze the fetal head circumference, femur length and abdominal circumference of 150 pregnant women with HIV infection after 28 weeks’ pregnant, so as to explore the intrauterine development of pregnant women with HIV infection. Methods Two-dimensional and color Doppler ultrasonography was performed on all pregnant women who came to the hospital for prenatal care. Careful examination of the fetus was performed in 150 pregnant women with HIV / AIDS from January 2007 to January 2012 And fetuses from 150 pregnant women who were not infected with AIDS at the same gestational age were randomly selected. Results (1) Head circumference≤5th percentile cases: Infection group, 96 cases, accounting for 64% of the total cases, 6 cases in the control group, accounting for 4% of the total cases; (2) femur length ≤ 5 Perceived number of cases: infection in 21 cases, accounting for 14% of the total number of cases, the control group of 3 patients, accounting for 2% of the total number of cases; (3) the abdominal circumference ≤ 5th percentile of the number of cases infected 42 Cases, accounting for 28% of the total number of cases, the control group of 9 cases, 6% of the total number of cases; Conclusion Pregnant women infected with HIV in the third trimester fetal head circumference, abdominal circumference, femur ≤ 5th percentile percentage of the number and Comparison of the control group, head circumference and abdominal circumference affected more, which can be seen that pregnant women infected with AIDS affect the fetus’s birth weight.