[1]王红霞.重度子痫前期患者脐动脉血流变化情况及其与不良妊娠结局的相关性分析[J].中国实用乡村医生杂志,2020,27(05):69-71.[doi:10.3969/j.issn.1672-7185.2020.05.024 ]
 WANG Hongxia.The Analysis of Changes of Umbilical Artery Blood Flow in Patients with Severe Preeclampsia and Its Correlation with Adverse Pregnancy Outcome[J].Chinese Practical Journal of Rural Doctor,2020,27(05):69-71.[doi:10.3969/j.issn.1672-7185.2020.05.024 ]
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重度子痫前期患者脐动脉血流变化情况及其与不良妊娠结局的相关性分析()
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《中国实用乡村医生杂志》[ISSN:1672-7185/CN:21-1502/R]

卷:
27
期数:
2020年05期
页码:
69-71
栏目:
临床研究
出版日期:
2020-05-15

文章信息/Info

Title:
The Analysis of Changes of Umbilical Artery Blood Flow in Patients with Severe Preeclampsia and Its Correlation with Adverse Pregnancy Outcome
文章编号:
 1672-7185(2020)05-0069-03 
作者:
王红霞
作者单位:124010 辽宁 盘锦,辽油宝石花医院妇产科
Author(s):
WANG Hongxia
(Department of Obstetrics and Gynecology, Liao Oil Gem Flower Hospital, Panjin 124010, Liaoning Province, China)
关键词:
 子痫前期重度脐血流妊娠结局相关性
Keywords:
 Preeclampsia Severe Cord Blood Flow Pregnancy Outcome Correlation
分类号:
 R71 
DOI:
10.3969/j.issn.1672-7185.2020.05.024
文献标志码:
 A
摘要:
 目的 探讨重度子痫前期患者脐动脉血流变化情况及其与不良妊娠结局的关系。方法 选取2016年1月—2018年12月辽油宝石花医院收治的67例重度子痫前期患者作为观察组,选择同期无妊娠期高血压疾病的149例妊娠女性作为对照组,比较两组脐血流相关指标及不良妊娠结局发生情况。结果 观察组脐血流相关指标收缩期峰值流速/舒张末期流速≥3.0、搏动指数≥1.5及阻力指数≥0.8者所占比例高于对照组,新生儿窒息、胎儿生长受限、胎儿窘迫、低体重儿发生率高于对照组,差异均有统计学意义(P<0.05)。相关分析显示,脐血流指标与不良妊娠结局的发生呈正相关(P<0.05)。结论 重度子痫前期患者脐动脉血流出现异常变化,并且这种变化与不良妊娠结局呈正相关。
Abstract:
Objective To investigate the changes of umbilical artery blood flow in patients with severe preeclampsia and its correlation with adverse pregnancy outcome. Methods A total of 67 patients with severe preeclampsia admitted in Liao Oil Gem Flower Hospital from January 2016 to December 2018 were collected as the observation group. The 149 pregnant women who did not have pregnancy induced hypertension in the same period were selected as the control group. The indexes of cord blood flow and pregnancy outcomes between two groups were compared. Results The proportion of peak systolic velocity / end diastolic velocity ≥3, pulsatility index ≥1.5 and resistance index ≥0.8 in the observation group was significantly higher than those in the control group, the incidence of neonatal asphyxia, fetal growth restriction, fetal distress and low weight infants was significantly higher than those of the control group (P < 0.05). The correlation analysis showed that umbilical blood flow index was positively correlated with adverse pregnancy outcome (P < 0.05). Conclusion The abnormal changes of umbilical artery blood flow in patients with severe preeclampsia are related to the adverse pregnancy outcome.

参考文献/References:

[1] 孙芳璨.妊娠期高血压疾病不良结局预测模型的研究进展[J].实用妇产科杂志,2019,35(9):677-681.
[2]何静,李陶,袁光星,等.子痫前期孕妇脐动脉血流动力学指标与预后的相关性[J].湖南师范大学学报(医学版),2019,16(6):27-30.
[3] 吴畏,陈林雅.妊娠期高血压疾病孕妇尿白蛋白/肌酐比值与疾病严重程度及妊娠结局的关系[J].中国生育健康杂志,2019,30(6):560-562,567.
[4] 谢幸,苟文丽.妇产科学[M].北京,人民卫生出版社,2013:64-71.
[5]雷刘燕,周丽红,吴晓薇,等.重度子痫前期孕妇脂联素及胎儿脐血流对围产儿结局的预测[J].中国妇幼健康研究,2019,30(9):1076-1079.
[6] 刘金金,崔世红,杨培峰,等.早发型重度子痫前期脐血流异常对母婴结局的影响[J].中国妇幼保健,2019,34(8):1741-1744.
[7] 胡小红,胡春芳,汪新疆.子痫前期患者胎儿脐血流异常与围产儿预后相关性分析[J].当代医学,2019,25(32):149-150.
[8] 王琼,王永红.子痫前期早期血清学预测标记物研究进展[J].国际妇产科学杂志,2019,46(4):412-416.
[9] 郭雪晶,黄鹰,张羽子.子痫前期血清学指标及脐动脉血流在预测不良妊娠结局的意义[J].中国妇幼健康研究,2019,30(8):959-963.
[10]王娟娟,张莹,金瑞林,等.子痫前期孕妇子宫动脉和胎儿脐动脉血流变化及其与围生儿预后关系分析[J].中国临床医生杂志,2019,47(9):1089-1091.

备注/Memo

备注/Memo:
收稿日期:2019-12-26)

更新日期/Last Update: 2020-06-16