彩色多普勒超声对孕中期妊娠期高血压疾病孕妇子宫动脉血流阻力的检测价值

Value of color Doppler ultrasound in detecting uterine arterial blood flow resistance of pregnant women with hypertensive disorder complicating pregnancy in the second trimester

目的探究彩色多普勒超声对孕中期妊娠期高血压疾病孕妇子宫动脉血流阻力的检测价值。方法选择400例妊娠期高血压疾病孕妇为试验组,同时选取400例健康妊娠孕妇为对照组。两组孕妇均在孕中期通过彩色多普勒超声对其子宫动脉血流阻力进行检测,并对其检测结果以及妊娠结局情况进行分析。结果对照组的RI、PI均明显低于试验组(P<0.05);随着妊娠期高血压疾病孕妇病情的不断加重,RI、PI呈逐渐升高的趋势(P<0.05)。对照组新生儿体重、Apgar评分以及孕妇妊娠天数均优于试验组(P<0.05);随着妊娠期高血压疾病孕妇病情的不断加重,新生儿体重、Apgar评分降低,孕妇妊娠天数缩短(P<0.05)。结论妊娠期高血压疾病孕妇在孕中期接受彩色多普勒超声对其子宫动脉血流阻力检测,能够更好地对其病情进行评估,指导其接受针对性的药物治疗,且可对妊娠结局进行评估。

Objective To explore the value of color Doppler ultrasound in detecting uterine arterial blood flow resistance of pregnant women with hypertensive disorder complicating pregnancy in the second trimester.Methods A total of 400 pregnant women with hypertensive disorder complicating pregnancy were selected as experimental group,while 400 healthy pregnant women were selected as control group.In the second trimester,the uterine arterial blood flow resistance was detected by color Doppler ultrasound in both groups,and the results of the detection and pregnancy outcome were analyzed.Results RI and PI in the control group were significantly lower than those in the experimental group(P<0.05);with the aggravation of pregnant women with hypertensive disorder complicating pregnancy,RI and PI increased gradually(P<0.05).The neonatal weight,Apgar score and pregnancy days of pregnant women in the control group were all better than those in the experimental group(P<0.05);with the aggravation of pregnant women with hypertensive disorder complicating pregnancy,neonatal weight and Apgar score decreased,pregnancy days shortened,and the differences statistically significant(P<0.05).Conclusion In the second trimester,the detection of uterine arterial blood flow resistance by color Doppler ultrasound in pregnant women with hypertensive disorder complicating pregnancy can better evaluate their condition,guide them to receive targeted drug treatment,and assess the pregnancy outcome.