| 陈钰,木尔扎扎比·木哈什,赵晓玲,等.新疆维吾尔自治区阿合奇县开展彩色多普勒超声检查预测胎儿窘迫研究[J].安徽医药,2021,25(1):80-83. |
| 新疆维吾尔自治区阿合奇县开展彩色多普勒超声检查预测胎儿窘迫研究 |
| Prediction of fetal distress by color doppler ultrasound in Aheqi county，Xinjiang uygur autonomous region |
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| DOI：10.3969/j.issn.1009?6469.2021.01.020. |
| 中文关键词: 胎儿窘迫 超声检查多普勒，彩色 大脑中动脉 肾动脉 静脉导管 高海拔 )， |
| 英文关键词: Fetal distress Ultrasonography doppler,color Middle cerebral artery Renal artery Venous catheter Altitude |
| 基金项目:克孜勒苏柯尔克孜自治州科研项目计划(克科字〔2018〕14号) |
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| 中文摘要: |
| 目的探讨运用彩色多普勒超声检测胎儿大脑中动脉、肾动脉及静脉导管的血流动力学参数值，评估其预测胎儿窘迫的价值。方法选取 2017年 2月至 2018年 2月在阿合奇县人民医院 70例妊娠晚期孕妇，其中确诊为胎儿窘迫者为观察组 28例，无胎儿窘迫者为对照组 42例。采用彩色多普勒血流成像检测胎儿大脑中动脉(MCA)、肾动脉(RA)、静脉导管(DV)的各项血流动力学指标，分别统计及计算出两组胎儿的 MCA、RA的搏动指数(PI)、阻力指数(RI)和血流收缩期峰值(S)与舒张期峰值(D)的比值(S/D值)，两组 DV的静脉搏动指数(PIV)、静脉导管分流率(QDV/QUV)和心室收缩期峰值流速(S?peak)与心房收缩期最大回流流速(A?wave)的比值(S/A值)，以及两组静脉导管异常波动的发生率。结果观察组胎儿 MCA的 PI、RI、S/D的值［(1.27±0.30)、(0.64±0.14)、(3.64±0.72)］均低于对照组［(1.59±0.38)、(0.75±0.08)、(4.23±0.97)］(P＜0.01)RA的 PI、RI、S/D值［(2.31±0.62)、(1.11±0.40)、(5.77±0.77)］均高于对照组［(1.56±0.42)、(0.73±0.13)、(3.06±0.92)］(P＜0.001，DV的 PIV、S/A、 QDV/QUV均高于正常组(P＜0.001)，观察异常波形发生率明显高于对照组(14.28%，0)(P＜0.05)。胎儿 MCA、RA、DV相关指标联合检测胎儿窘迫的灵敏度、特异度和 Youden指数分别为 92.69%，95.24%，0.87均较单一指标高。结论超声多普勒检测胎儿各项血流动力指标可明确胎儿宫内情况，各项血流动力指标的联合检测对于预测胎儿窘迫更为可靠。 |
| 英文摘要: |
| Objective To investigate the hemodynamic parameters of middle cerebral artery，renal artery and venous catheter in fetuses by color Doppler ultrasound，and to evaluate the value of its prediction of fetal distress.Methods Seventy pregnant women in the late pregnancy admitted to the People’s Hospital of Aheqi County for color doppler ultrasound examination from February2017 to February 2018 were selected.and divided into two groups according to situation of fetal distress，of which 28 cases were di? agnosed as fetal distress in the observation group，and 42 cases without fetal distress were the control group.The hemodynamic in? dexes of fetal middle cerebral artery(MCA)，renal artery(RA)and venous catheter(DV)were detected by color Doppler flow im? aging.The pulsation index(PI)resistance index(RI)，the ratio of peak systolic blood flow(S)to diastolic peak(D)(S/D)of MCAandRAinthetwogroupswe，re calculated respectively.And the DV venous pulsation index(PIV)，venous catheter shunt rate(QDV/QUV)，ventricular systolic peak velocity(S?peak)and atrial systolic maximum reflux velocity(A?wave)ratio(S/A)，and the incidence of abnormal fluctuation of venous catheter in the two groups were calculated respectively.Results The PI，RI and S/D ra? tio of the MCA in the observation group were(1.27±0.30)(0.64±0.14)(3.64±0.72)respectively，which were apparently lower than those in the control group(1.59±0.38)，(0.75±0.08)，(4.2，3±0.97)(P＜，0.01).The PI，R，I and S/D ratio of the RA in the obser? vation group were(2.31±0.62)(1.11±0.40)，(5.77±0.77)，respectively，which were all higher than those of the control group(2.31±0.62)(1.11±0.40)， P＜0.001).The PIV，S/A ratio and QDV/QUVwere higher than those of the control group(P＜0.001). dence of abnormal waves in the observation group was significantly higher than that in the control group(14.28%，0)(P＜5.77±0.77)(，Theinci，0.05).The sensitivity，specificity and Youden Index of combined detection to predict fetal distress were 92.69%，95.24%，0.87，re? spectively，which were obviously higher than that of a single indicator.Conclusion Using the ultrasonic Doppler to detect the fetal hemodynamic indexes candetermine the intrauterine condition of the fetus，and the combined detection of various hemodynamic in? dexes is more reliable in predicting fetal distress. |
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