子宫动脉多普勒超声检查对妊娠期高血压疾病患者妊娠不良结局的预测价值

Predictive Value of Uterine Artery Doppler Ultrasonography in the Diagnosis of Adverse Pregnancy Outcome in Patients with Hypertensive Disorder Complicating Pregnancy

目的探讨子宫动脉多普勒超声检查用于对妊娠期高血压疾病患者的临床诊断价值。方法回顾性分析2017年3月至2019年2月贵港市人民医院收治的妊娠期高血压孕产妇60例,设为观察组。随机选取同期正常健康体检孕妇50例设为对照组。比较2组阻力指数(RI)值、收缩期与舒张期流速比(S/D)值,比较2组孕产妇分娩后新生儿出生体重及新生儿阿氏评分(Apgar评分)评分,对子宫动脉多普勒检查结果、尿蛋白、高血压进行多变量回归分析。结果观察组子宫动脉RI及S/D值高于对照组(P<0.05);观察组新生儿的体重显著低于对照组(P<0.05),1 min Apgar评分<7分15.00%和5 min Apgar评分8.33%与对照组4.00%、0.00%相比差异无统计学意义(P>0.05)。子宫动脉多普勒检查结果可预测不良妊娠结局(OR=10.896,P<0.05)。结论子宫动脉多普勒超声检查对妊娠期高血压疾病患者的妊娠结局具有重要的预测价值。

Objective To investigate the value of Doppler ultrasound of uterine artery in the clinical diagnosis of patients with hypertension during pregnancy.Methods Retrospective analysis was performed on 60 pregnant women with hypertension admitted to guigang people's hospital from March 2017 to February 2019,which was set as the observation group.50 pregnant women with normal physical examination were randomly selected as the control group.Resistance index(RI)value,systolic and diastolic flow rate ratio(S/D)value were compared between the two groups,and neonatal birth weight and Apgar score were compared between the two groups.Multivariate regression analysis was performed on the results of uterine artery doppler examination,urinary protein and hypertension.Results The uterine artery RI and S/D values in the observation group were higher than those in the control group(P<0.05);The weight of the newborns in the observation group was significantly lower than that in the control group(P<0.05).1 min Apgar score<7 points 15.00%and 5 min Apgar score 8.33%compared with 4.00%and 0.00%of the control group,the difference was not significant(P>0.05)Uterine artery Doppler results can predict adverse pregnancy outcomes(OR=10.896,P<0.01).Conclusion Doppler ultrasound of uterine artery has important predictive value for pregnancy outcome of patients with hypertension during pregnancy.