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目的探讨中期妊娠高危人群子宫动脉血流与妊娠期高血压疾病(hyperten sive disorders complicating pregnan-cy,HDCP)发病的相关性,为HDCP的预测探讨新的途径。方法采用前瞻性的研究方法,对中期妊娠孕妇进行Olson婚姻质量问卷(ENRIC)调查,筛查高危人群,选择高危人群56例为观察组,同期非高危人群45例为对照组,以彩色多普勒同时监测胎儿情况和双侧子宫动脉血流,观察两组间子宫动脉血流各项指标,追踪两组HDCP的发病率。结果观察组子宫动脉血流各项指标和HDCP的发病率明显高于对照组,两组比较有统计学意义(P<0.001)。结论中期妊娠高危人群子宫动脉血流与HDCP的发生有显著的相关性,子宫动脉血流监测可做为早期预测HDCP的客观指标之一。
Objective To explore the correlation between uterine arterial blood flow and the incidence of hypertensive disorder complicating pregnan-cy (HDCP) in the high-risk population of mid-term pregnancy and to explore a new approach for the prediction of HDCP. Methods A prospective study was conducted to investigate the Olson marital quality questionnaire (ENRIC) among pregnant women in the second trimester. Screening for high-risk groups, 56 high-risk groups were selected as the observation group and 45 non-high-risk groups as the control group. At the same time, both fetal status and bilateral uterine artery blood flow were monitored. The indexes of uterine artery blood flow between the two groups were observed and the incidence of HDCP was observed. Results The incidence of uterine arterial blood flow and HDCP in the observation group were significantly higher than those in the control group, with statistical significance (P <0.001). Conclusions There is a significant correlation between uterine arterial blood flow and HDCP in high-risk population of mid-term pregnancy. Uterine arterial blood flow monitoring can be used as one of the objective indicators for early prediction of HDCP.