孕妇桡动脉血流图对预测子痫前期的价值(1)
[摘要] 目的 探讨脐动脉血流指数对预测子痫前期的价值。 方法 收集2011年1月～2014年1月我院产科分娩的产妇，分为预测组和对照组。对照组定期产检未接受桡动脉血流图干预。预测组定期产检并接受桡动脉血流图干预。对比①预测组与对照组妊高征发生率。②预测组与对照组孕妇发病程度。③MP监测系统在不同孕周预测先兆子痫情况。④两组孕妇分娩新生儿生长受限情况。 结果 ①预测组中孕妇妊高征的发病率明显低于对照组，差异有统计学意义(P<0.05)。②预测组和对照组诊断为轻度子痫前期、重度子痫前期及子痫的数据有统计学差异(P<0.05)。③预测组中，MP监测系统预测子痫前期的符合率随孕周的增加而逐渐升高。④预测组和对照组分娩的新生儿体重差异有统计学意义(χ2=9.52，P<0.01)。 结论 孕妇桡动脉血流图对预测子痫前期阳性的产妇进行干预治疗后，能够明显降低孕妇发生妊娠高血压疾病的机率。
[关键词] 孕妇；桡动脉；血流图；子痫前期；价值
[中图分类号] R714.2 [文献标识码] B [文章编号] 1673-9701(2015)35-0035-04
[Abstract] Objective To explore the value of umbilical artery flow index in the prediction of pre-eclampsia. Methods Puerpera who delivered in the department of obstetrics in our hospital from January 2011 to January 2014 were selected， and were assigned to the prediction group and the control group. The control group was regularly given antenatal care without the intervention of radial artery rheography. The prediction group was regularly given antenatal care combined with the intervention of radial artery rheography. ①The incidence rate of pregnancy induced hypertension was compared between the prediction group and the control group. ②Morbidity degree of the pregnant women was compared between the prediction group and the control group. ③The prediction of pre-eclampsia in different gestational weeks via MP monitoring system was compared. ④Growth restriction of newborns delivered by the two groups of pregnant women was compared. Results ①The incidence rate of pregnancy induced hypertension in the prediction group was significantly lower than that in the control group， and the difference was statistically significant(P<0.05). ②There were statistical differences of the data of mild pre-eclampsia， severe pre-eclampsia and eclampsia between the prediction group and the control group(P<0.05). ③The accordance rate of pre-eclampsia predicted by the MP monitoring system in the prediction group was gradually increased according to the increase of gestational weeks. ④There was significant difference of neonatal body weight between the prediction group and the control group(χ2=9.52， P<0.01). Conclusion After the intervention of eclampsia via radial artery rheogaphy for the pregnant women with positive prediction， it is able to significantly reduce the incidence rate of pregnancy induced hypertension in pregnant women.
[Key words] Pregnant women； Radial artery； Rheography； Pre-eclampsia； Value
妊高症是产科临床最常见的疾病，以血压升高、蛋白尿及水肿为主要表现，妊高症会对母体和胎儿预后具有严重的影响，病情严重者出现重度低蛋白血症、肝肾功能损害、胎盘早剥、HELLP综合征及子痫；此外子宫血管痉挛会引起胎盘供血不足、胎盘功能减退，导致胎儿宫内生长受限、胎儿窘迫、胎死宫内、死产或新生儿死亡，严重危害母婴健康。目前治疗妊高症的药物很少，部分降压药虽然降压效果好，但存在胎儿毒性，导致应用受到受限。目前有文献指出桡动脉血流图对预测妊高症有一定价值。因此本次研究拟收集2011年1月～2014年1月我院产科门诊进行常规产前检查并在我院分娩产妇，探讨脐动脉血流指数和孕妇桡动脉血流图对预测子痫前期的价值，现报道如下。, 百拇医药(王群)
[关键词] 孕妇；桡动脉；血流图；子痫前期；价值
[中图分类号] R714.2 [文献标识码] B [文章编号] 1673-9701(2015)35-0035-04
[Abstract] Objective To explore the value of umbilical artery flow index in the prediction of pre-eclampsia. Methods Puerpera who delivered in the department of obstetrics in our hospital from January 2011 to January 2014 were selected， and were assigned to the prediction group and the control group. The control group was regularly given antenatal care without the intervention of radial artery rheography. The prediction group was regularly given antenatal care combined with the intervention of radial artery rheography. ①The incidence rate of pregnancy induced hypertension was compared between the prediction group and the control group. ②Morbidity degree of the pregnant women was compared between the prediction group and the control group. ③The prediction of pre-eclampsia in different gestational weeks via MP monitoring system was compared. ④Growth restriction of newborns delivered by the two groups of pregnant women was compared. Results ①The incidence rate of pregnancy induced hypertension in the prediction group was significantly lower than that in the control group， and the difference was statistically significant(P<0.05). ②There were statistical differences of the data of mild pre-eclampsia， severe pre-eclampsia and eclampsia between the prediction group and the control group(P<0.05). ③The accordance rate of pre-eclampsia predicted by the MP monitoring system in the prediction group was gradually increased according to the increase of gestational weeks. ④There was significant difference of neonatal body weight between the prediction group and the control group(χ2=9.52， P<0.01). Conclusion After the intervention of eclampsia via radial artery rheogaphy for the pregnant women with positive prediction， it is able to significantly reduce the incidence rate of pregnancy induced hypertension in pregnant women.
[Key words] Pregnant women； Radial artery； Rheography； Pre-eclampsia； Value
妊高症是产科临床最常见的疾病，以血压升高、蛋白尿及水肿为主要表现，妊高症会对母体和胎儿预后具有严重的影响，病情严重者出现重度低蛋白血症、肝肾功能损害、胎盘早剥、HELLP综合征及子痫；此外子宫血管痉挛会引起胎盘供血不足、胎盘功能减退，导致胎儿宫内生长受限、胎儿窘迫、胎死宫内、死产或新生儿死亡，严重危害母婴健康。目前治疗妊高症的药物很少，部分降压药虽然降压效果好，但存在胎儿毒性，导致应用受到受限。目前有文献指出桡动脉血流图对预测妊高症有一定价值。因此本次研究拟收集2011年1月～2014年1月我院产科门诊进行常规产前检查并在我院分娩产妇，探讨脐动脉血流指数和孕妇桡动脉血流图对预测子痫前期的价值，现报道如下。, 百拇医药(王群)