影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (5): 1264-1268.DOI: 10.7517/issn.1674-0475.210113

• 综述与论文 • 上一篇    下一篇

子痫前期孕妇心脏功能指数与子宫动脉血流情况的相关性

崔小娟, 周玲, 路鑫铭, 简慧秋, 李平华   

  1. 华北医疗健康集团邢台总医院妇产科, 河北 邢台 054000
  • 收稿日期:2021-01-19 发布日期:2022-09-13
  • 通讯作者: 周玲

The Correlation between Cardiac Function Index and Uterine Artery Blood Flow in Preeclampsia Pregnant Women

CUI Xiaojuan, ZHOU Ling, LU Xinming, JIAN Huiqiu, LI Pinghua   

  1. Department of Obstetrics and Gynecology, Xingtai General Hospital, North China Medical and Health Group, Xingtai 054000, Hebei, P. R. China
  • Received:2021-01-19 Published:2022-09-13

摘要: 探讨子痫前期孕妇心排血指数(CI)与子宫动脉搏动指数(UtA-PI)、阻力指数(RI)的关系及联合预测胎盘早剥的价值。选取子痫前期孕妇150例作为观察组,同时选取健康孕妇100例作为对照组。采用彩色多普勒超声检查孕妇心脏及子宫动脉UtA-PI、UtA-RI、S/D。观察组孕妇左心室射血分数(LVEF)低于对照组孕妇(P<0.05),而CI高于对照组孕妇(P<0.05);观察组UtA-PI、UtA-RI和S/D明显高于对照组(P<0.05);观察组CI与UtA-PI、UtA-RI呈正相关(P<0.05);CI、UtA-PI、UtA-RI联合预测胎盘早剥的ROC曲线下面积为0.960,明显高于任一单独预测价值。子痫前期孕妇CI、UtA-PI、UtA-RI与疾病严重程度、胎盘早剥有一定关系,三者间存在正相关关系,联合预测胎盘早剥有一定应用价值。

关键词: 子痫前期, 心脏功能指数, 子宫动脉搏动指数, 阻力指数, 胎盘早剥

Abstract: The relationship between cardiac index (CI), uterine artery pulsatility index (UtA-PI) and resistance index (UtA-RI) in preeclampsia pregnant women and the value of combined prediction of placental abruption was investigated. One-hundred and fifty cases of preeclampsia pregnant women were selected as the observation group, and 100 healthy pregnant women were selected as the control group. The heart, uterine artery UtA-PI, UtA-RI and S/D of pregnant women were examined by color Doppler ultrasound. The left ventricular ejection fraction (LVEF) of the observation group was lower than that of the control group (P<0.05), while the CI was higher than that of the control group (P<0.05). The UtA-PI, UtA-RI and S/D of the observation group were significantly higher than those of the control group (P< 0.05). CI in observation group was positively correlated with UtA-PI and UtA-RI (P<0.05). The area under ROC curve of CI, UtA-PI and UtA-RI combined prediction of placental abruption was 0.960, which was significantly higher than that of single test. The CI, UtA-PI and UtA-RI of preeclampsia pregnant women are related to the severity of disease and placental abruption, and there is a positive correlation among them. The combined prediction of placental abruption has certain application value.

Key words: preeclampsia, cardiac function index, uterine artery pulsatility index, resistance index, placental abruption