妊娠期糖尿病胎儿脐动脉、大脑中动脉血流彩色多普勒超声检测诊断价值

Diagnostic Value of Color Doppler Ultrasonography in Umbilical Artery and Middle Cerebral Artery Blood Flow of Gestational Diabetes Mellitus

目的对妊娠期糖尿病胎儿脐动脉、大脑中动脉血流彩色多普勒超声检测的诊断价值进行研究和分析。方法选择200例孕妇作为实验研究对象,其中100例孕妇为妊娠期糖尿病孕妇(实验组),100名孕妇为正常孕妇(对照组),选取时间为2016年5月—2019年5月。对两组孕妇的胎儿脐动脉和大脑中动脉血流进行彩色多普勒超声检测,对检测结果进行比较和分析。结果经过彩色多普勒对两组孕妇检测发现,对照组在脐动脉的搏动指数、阻力指数以及脐动脉舒张压血流峰速比值方面都要低于实验组,而在大脑中动脉的搏动指数、阻力指数以及脐动脉舒张压血流峰速比值方面都要高于实验组,组间数据对比差异有统计学意义(P<0.05)。结论通过对妊娠期糖尿病胎儿大脑中动脉及胎儿脐动脉血流的彩色多普勒超声检测,能够尽早的发现胎儿缺氧的情况,有利于及时采取临床手段对患者进行治疗。

Objective To study and analyze the diagnostic value of color Doppler ultrasonography in the bloodstream of umbilical artery and middle cerebral artery in gestational diabetes.Methods 200 pregnant women were selected as experimental subjects.Among them,100 pregnant women were pregnant women with gestational diabetes(experimental group),and 100 pregnant women were normal pregnant women(control group).The time was from May 2016 to May 2019.Color Doppler ultrasonography was performed on the fetal umbilical artery and middle cerebral artery blood flow of the two groups of pregnant women,and the results were compared and analyzed.Results After color Doppler examination of the two groups of pregnant women,the pulsation index,resistance index and peak ratio of umbilical artery diastolic blood flow in the umbilical artery were lower than those in the experimental group,and the pulsation of the middle cerebral artery was observed.The ratios of index,resistance index and peak velocity of umbilical artery diastolic blood pressure were higher than those of the experimental group.The difference was statistically significant in data between groups(P<0.05).Conclusion Color Doppler ultrasonography of fetal middle cerebral artery and fetal umbilical arterial blood flow in gestational diabetes can detect fetal hypoxia as early as possible,which is beneficial to timely clinical treatment of patients.