子痫前期的产妇平均动脉压及血清同型半胱氨酸联合B超的预测价值分析

目的探讨一种无创、操作简单、经济的检查方式和实验室指标联合预测模型,从而做到早期预测、早期预防、早期治疗。方法对有高危因素的孕妇,妊娠早期(11~14周)、中期(24~28周)、及晚期(32~36周)测定同型半胱氨酸,观察其变化。回顾性分析2018年1月-2020年1月我院收治的子痫前期孕妇轻型和重型各30例。结果子痫前期孕妇同型半胱氨酸水平均高于正常。结论平均动脉压(MAP)及血清同型半胱氨酸(homocysteine,Hcy)的变化来探讨其对子痫前期的预测价值,妊娠早期子宫动脉多普勒参数为常数。彩色多普勒超声检查具有较高的分辨率,进而准确反映子痫前期患者病情严重程度。三者结合检测为孕妇早期子痫干预措施的制定提供依据。

objective To explore a noninvasive,simple and economical joint prediction model of examination method and laboratory indexes,so as to achieve early prediction,early prevention and early treatment.Methods Homocysteine was measured in the first trimester(11-14 weeks),the second trimester(24-28 weeks),and the third trimester(32-36 weeks).Methods 30 cases of mild and 30 cases of severe preeclampsia in our hospital from January 2018 to December 2020 were retrospectively analyzed.results The levels of homocysteine in preeclampsia pregnant women were higher than normal.conclusion The value of map and Hcy in predicting preeclampsia is constant.Color Doppler ultrasound has high resolution,which can accurately reflect the severity of preeclampsia.The combined detection of the three can provide the basis for the development of intervention measures for early eclampsia in pregnant women.