Holter辅助CDFI预测胎儿宫内窘迫的研究

doi:10.7517/issn.1674-0475.210911

影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (2): 367-371.DOI: 10.7517/issn.1674-0475.210911

Holter辅助CDFI预测胎儿宫内窘迫的研究

李春¹, 孙艳芳², 杨一¹, 王会敏¹, 周思³

1. 武汉市第三医院(武汉大学附属同仁医院)产科, 湖北武汉 430070;
2. 武汉市第三医院(武汉大学附属同仁医院)超声科, 湖北武汉 430070;
3. 华中科技大学同济医学院附属湖北妇幼保健院超声诊断科, 湖北武汉 430070

收稿日期:2021-09-15 出版日期:2022-03-15 发布日期:2022-03-08
通讯作者: 孙艳芳

Study on Holter-assisted CDFI in Predicting Fetal Distress

LI Chun¹, SUN Yanfang², YANG Yi¹, WANG Huimin¹, ZHOU Si³

1. Department of Obstetrics and Gynecology, Wuhan Third Hospital(Tongren Hospital of Wuhan University), Wuhan 40070, Hubei, P. R. China;
2. Department of Ultrasound, Wuhan Third Hospital(Tongren Hospital of Wuhan University), Wuhan 40070, Hubei, P. R. China;
3. Department of Ultrasound Diagnosis, Maternal and Child Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430070, Hubei, P. R. China

Received:2021-09-15 Online:2022-03-15 Published:2022-03-08

摘要/Abstract

摘要： 本文探讨母胎动态心电图心电监测(Holter)辅助彩色多普勒超声(CDFI)、Tei指数预测胎儿宫内窘迫的价值。选取进行产前登记、分娩的孕妇作为研究对象,其中53例出现胎儿窘迫症状的孕妇作为窘迫组,同期未出现胎儿窘迫症状的100例孕妇作为对照组。两组均进行动态心电图监测,采用CDFI检测胎儿脐动脉、大脑中动脉的阻力指数(RI)、搏动指数(PI)、收缩期与舒张期峰值血流比值(S/D)、Tei指数。结果显示,窘迫组的PELV测定值高于对照组(P<0.05);窘迫组的脐动脉、大脑中动脉的PI、RI、S/D测定值均高于对照组孕妇(P<0.05);窘迫组的Tei指数测定值高于对照组(P<0.05);PELV测定值预测胎儿窘迫的最佳临界值为18.68%,曲线下面积为0.655;PELV+脐动脉S/D值+大脑中动脉S/D值+Tei指数联合预测胎儿窘迫的灵敏度为90.57%、特异度为87.00%。临床上,单独用Holter预测胎儿宫内窘迫敏感性较差,作为辅助手段联合CDFI、Tei指数预测胎儿宫内窘迫具有更好的效果。

关键词: 母胎动态心电图心电监测, 彩色多普勒超声, Tei指数, 宫内窘迫

Abstract: This paper discussed the value of the maternal dynamic ECG monitoring (Holter) assisted color Doppler ultrasound (CDFI) and Tei index in predicting fetal intrauterine distress. The pregnant women who registered and gave birth were selected as the research object. Among them, 53 pregnant women with fetal distress symptoms were selected as the distress group, and 100 pregnant women without fetal distress symptoms during the same period were selected as the control group. The two groups were monitored by Holter, and CDFI was used to detect fetal umbilical artery and middle cerebral artery resistance index (RI), pulsatility index (PI), systolic to diastolic peak blood flow ratio (S/D), and Tei index. The PELV values in the distress group were higher than those in the control group (P<0.05). The measured values of PI, RI, and S/D of the umbilical artery and middle 367 cerebral artery in the distress group were higher than those in the control group (P<0.05). The Tei index value of the distress group was higher than that of the control group (P<0.05). The best cut-off value of PELV value for predicting fetal distress was 18.68%, and the area under the curve was 0.655. The sensitivity of PELV + umbilical artery S/D value + brain arterial S/D value + Tei index to predict fetal distress was 90.57%, and specificity was 87.00%. Clinically, the sensitivity of Holter alone to predict fetal distress is poor. As an auxiliary method, combined with CDFI and Tei index to predict fetal distress has a better effect.

Key words: mother-fetal Holter ECG monitoring, color Doppler ultrasound, Tei index, intrauterine distress

李春, 孙艳芳, 杨一, 王会敏, 周思. Holter辅助CDFI预测胎儿宫内窘迫的研究[J]. 影像科学与光化学, 2022, 40(2): 367-371.

LI Chun, SUN Yanfang, YANG Yi, WANG Huimin, ZHOU Si. Study on Holter-assisted CDFI in Predicting Fetal Distress[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(2): 367-371.

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Holter辅助CDFI预测胎儿宫内窘迫的研究

Study on Holter-assisted CDFI in Predicting Fetal Distress

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