摘要
目的:探讨胎心监护联合脐动脉、大脑中动脉血流监测在子痫前期围产儿预后中的应用价值。方法:选取2016年1月-2017年1月本院收治的子痫前期患者120例,按照病情严重程度分为子痫前期轻度组52例和子痫前期重度组68例,选取同期本院接受其他治疗的正常孕妇60例为对照组。比较各组妊娠结局,分析子痫前期使用胎心监护联合脐动脉、大脑中动脉血流监测与患者分娩方式及围产儿预后的关系。结果:子痫前期轻度组早产、低体重儿发生率均高于对照组,比较差异均有统计学意义(P<0.05);子痫前期重度组早产、低体重儿、胎儿窘迫及产后出血发生率均高于对照组,比较差异均有统计学意义(P<0.05)。子痫前期NST反应型患者预后不良率19.1%(17/89),低于NST无反应型患者的38.7%(12/31),阴道分娩率为62.9%(56/89),高于NST无反应型患者的41.9%(13/31),比较差异有统计学意义(P<0.05)。子痫前期胎儿脐动脉S/D<3.0者预后不良率9.3%(4/43),低于S/D≥3.0者的48.1%(37/77),阴道分娩率83.7%(36/43),高于S/D≥3.0者的53.2%(41/77),比较差异有统计学意义(P<0.05)。子痫前期胎儿大脑中动脉S/D≥3.0者预后不良率10.4%(5/48),低于S/D<3.0者的45.2%(28/62),阴道分娩率为68.8%(33/48),高于S/D<3.0者的41.9%(26/62),比较差异均有统计学意义(P<0.05)。结论:胎心监护联合脐动脉、大脑中动脉血流监测可较准确的预测子痫前期患者围产儿预后。
Objective:To explore the value of fetal heart monitoring combined with blood flow monitoring of umbilical artery and middle cerebral artery in the prognosis of preeclampsia perinatal infants.Method:A total of 120 patients with preeclampsia from January 2016 to January 2017 in our hospital were selected,according to the severity of the disease,they were divided into 52 cases of mild preeclampsia group and 68 cases of severe preeclampsia group,and 60 normal pregnant women who received other treatment in our hospital were selected as control group.The outcome of pregnancy in each group were compared,and the relationship between the fetal heart monitoring combined with blood flow monitoring of umbilical artery and middle cerebral artery and the mode of delivery and the prognosis of perinatal infants were analyzed.Result:The incidence of premature and low weight infants in mild preeclampsia group were higher than those of control group,the differences were statistically significant(P<0.05);the incidence of premature,low weight infants,fetal distress and postpartum hemorrhage in severe preeclampsia group were higher than those of control group,the differences were statistically significant(P<0.05).The rate of poor prognosis in patients with preeclampsia NST reaction was 19.1%(17/89),which was lower than 38.7%(12/31)of non reactive NST,the rate of vaginal delivery was 62.9%(56/89),which was higher than 41.9%(13/31)of non reactive NST patients,the differences were statistically significant(P<0.05).The rate of poor prognosis in preeclampsia patients with fetal umbilical artery S/D<3.0 was 9.3%(4/43),which was lower than 48.1%(37/77)of fetal umbilical artery S/D≥3.0,the rate of vaginal delivery was 83.7%(36/43),which was higher than 53.2%(41/77)of fetal umbilical artery S/D≥3.0,the differences were statistically significant(P<0.05).The rate of poor prognosis in preeclampsia patients with fetal middle cerebral artery S/D≥3.0 was 10.4%(5/48),which was lower than 45.2%(28/62)of fetal middle cerebral artery S/D<3.0,the rate of vaginal delivery was 68.8%(33/48),which was higher than 41.9%(26/62)of fetal middle cerebral artery S/D<3.0,the differences were statistically significant(P<0.05).Conclusion:Fetal heart monitoring combined with blood flow monitoring of umbilical artery and middle cerebral artery can predict the perinatal infants prognosis of patients with preeclampsia
作者
李晓梅
LI Xiaomei(Gaozhou Maternal and Child Health Hospital,Gaozhou 525200,China)
出处
《中国医学创新》
CAS
2018年第9期19-23,共5页
Medical Innovation of China
关键词
胎心监护
脐动脉血流
大脑中动脉
子痫前期
围产儿预后
Fetal heart monitoring
Umbilical artery blood flow
Middle cerebral artery
Preeclampsia
Perinatal prognosis
