| 赵媛媛,王妙英,王婷婷,等.子宫动脉血流频谱联合 e-Flow胎盘血流在妊娠期高血压 103例中的应用价值[J].安徽医药,2024,28(12):2479-2482. |
| 子宫动脉血流频谱联合 e-Flow胎盘血流在妊娠期高血压 103例中的应用价值 |
| Application value of uterine artery flow spectrum combined with e-Flow placental flow in 103 cases of hypertension during pregnancy |
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| DOI：10.3969/j.issn.1009-6469.2024.12.029 |
| 中文关键词: 高血压，妊娠性 脉冲波多普勒超声成像 子宫动脉 血流频谱 胎盘血流 子宫动脉搏动指数 阻力指数 |
| 英文关键词: Hypertension, pregnancy-induced Pulsed wave Doppler ultrasound imaging Uterine artery Blood flow velocity waveform Uteroplacental blood flow Pulsatility index Resistance index |
| 基金项目:邯郸市科学技术研究与发展计划项目( 19422083009-11) |
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| 中文摘要: |
| 目的研究 e-Flow胎盘血流结合子宫动脉血流频谱在妊娠期高血压疾病中的应用价值。方法回顾性分析 2021年 5月至 2023年 2月邯郸市中心医院 103例纳入时无高血压，后随访出现妊娠期高血压孕妇作为妊娠期高血压组，选择产检正常且无高血压的 110例正常孕妇作为健康组。收集妊娠期高血压组未出现高血压时以及健康组的子宫动脉血流频谱和 e-Flow胎盘血流数据，获得子宫动脉阻力指数、搏动指数、收缩期峰值与舒张末期流速比值( S/D)舒张早期切迹与胎盘血管图像；采用受试者操作特征曲线( ROC曲线)分析各指标单独以及联合预测妊娠期高血压的价值。结果，妊娠期高血压组搏动指数、阻力指数及 S/D值高于健康组( P<0.05)。子宫动脉舒张早期切迹存在率方面，妊娠期高血压组相较于健康组更高( P<0.05)。妊娠期高血压组三级绒毛动脉计数少于健康组［( 2.34±0.48)个比( 4.36±0.53)个， P<0.05］。 ROC曲线显示，搏动指数、阻力指数、 S/D、三级绒毛动脉计数联合检查对妊娠期高血压的灵敏度、特异度为 74.80%、93.30%，预测价值高于单独检查。结论子宫动脉血流频谱联合 e-Flow胎盘血流能有效预测妊娠期高血压发生，可作为临床早期疾病评估的有效检查方式。 |
| 英文摘要: |
| Objective To study the application value of uterine artery flow spectrum combined with e-Flow placental flow in hyper-tensive diseases during pregnancy.Methods A retrospective analysis was performed on 103 patients from Handan Central Hospitalfrom May 2021 to February 2023 who were not hypertensive at the time of admission and were followed up with hypertension duringpregnancy as the gestational hypertension group, and 110 normal pregnant women who were not hypertensive during normal pregnancyand childbirth were selected as the healthy group. Uterine artery flow spectrum and e-Flow placental flow data were collected in the hy-pertensive group during pregnancy and the healthy group, and uterine artery pulsation index, resistance index, ratio of peak systolic toend-diastolic flow velocity (S/D), early diastolic notch and placental blood vessel images were obtained. Receiver operating characteris-tic curve (ROC) was used to analyze the predictive value of each indicator alone and in combination for gestational hypertension.Re. sults The pulsatility index, resistance index and S/D value of the gestational hypertension group were higher than those of the healthy group (P<0.05). The presence rate of uterine artery diastolic notch in gestational hypertension group was higher (P<0.05). The count of tertiary villous arteries was lower in the gestational hypertension group than the healthy group (2.34±0.48 vs. 4.36±0.53, P<0.05). TheROC curve showed that the sensitivity and specificity of pulsatility index, resistance index, S/D and tertiary villus artery count com-bined examination for gestational hypertension were 74.80% and 93.30%, respectively, with the predictive value higher than the exami-nation with each indicator alone. Conclusion Examination of uterine artery blood flow spectrum combined with e-Flow placentalblood flow can effectively predict gestational hypertension, which is of great value in early clinical assessment of the disease. |
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