|
|
Relationship between ultrasound umbilical artery blood flow parameters and fetal distress at different gestational ages |
JIANG Xue1 LU Rui1 HE Xiao2#br# |
1.Department of Obstetrics and Gynecology, the Affiliate Shuyang Hospital, College of Medicine, Yangzhou University, Jiangsu Province, Suqian 223600, China;
2.Department of Obstetrics and Gynecology, Suqian Hospital of Nanjing Drum Tower Hospital Group, Jiangsu Province, Suqian 223865, China |
|
|
Abstract Objective To analyze the relationship between ultrasound umbilical artery blood flow parameters and fetal distress at different gestational ages. Methods A total of 136 pregnant women who underwent prenatal examination in the Affiliate Shuyang Hospital, College of Medicine, Yangzhou University from October 2019 to March 2021 were selected as the research objects. According to the gestational age, they were divided into 4-12+ weeks group (38 pregnant), 13-27+ weeks group (41 pregnant), and 28-40 weeks group (57 pregnant). The incidence of fetal distress, parameters of umbilical artery (pulse index [PI], resistance index [RI], and peak systolic flow rate / end diastolic flow rate [S/D]) were compared among three groups; the correlation between umbilical artery blood flow parameters of different gestational ages and fetal distress was analyzed. Results There was statistical difference in the incidence of fetal distress among three groups (P < 0.05). PI, RI, and S/D values in 4-12+ weeks group were higher than those in 13-27+ weeks group and 28-40 weeks group, and PI, RI, and S/D values in 13-27+ weeks group were higher than those in 28-40 weeks group, and the differences were statistically significant (P < 0.05). The incidence of fetal distress was positively correlated with PI, RI, and S/D values at different gestational ages (r > 0, P < 0.05). Conclusion PI, RI, and S/D values of umbilical artery blood flow were different in different gestational ages, and PI, RI, and S/D values were positively correlated with the incidence of fetal distress.
|
|
|
|
|
[1] Mondal TR,Bandyopadhyay G,Mukhopadhyay SG,et al. Histopathological Changes of Placenta in Meconium Stained Liquor and Its Relevance in Fetal Distress:A Case Control Study [J]. Turk Patoloji Dergisi,2019,35(2):107-118.
[2] Rottenstreich M,Rottenstreich A,Rottenstreich M. Fetal distress and urgent cesarean delivery due to new-onset peripartum Crohn’s disease [J]. Taiwan J Obstet Gyne,2018,57(6):901-902.
[3] Atabay I,Kose S,Cagliyan E,et al. A prospective cohort study on the prediction of fetal distress and neonatal status with arterial and venous Doppler measurements in appropriately grown term fetuses [J]. Arch Gynecol Obstet,2017,296(4):721-730.
[4] 李建敏,李娜,郭娟,等.彩超联合血清HIF-1α检测对妊娠期高血压疾病患者胎儿宫内窘迫的诊断价值[J].中国医师杂志,2020,22(6):932-934.
[5] Katsura D,Takahashi Y,Iwagaki S,et al. Comparison of bilateral and unilateral umbilical artery diastolic blood flow abnormalities in monochorionic diamniotic twin pregnancies [J]. J Matern Fetal Neonatal Med,2020,33(17):2933-2940.
[6] Stenhouse C,Tennant P,Duncan WC,et al. Doppler ultrasound can be used to monitor umbilical arterial blood flow in lightly sedated pigs at multiple gestational ages [J]. Reprod Fert Develop,2018,30(11):1402-1411.
[7] 吴巧,田瑞,司利华.脐绕颈胎儿临产前三条动脉血流动力学参数的联合检测对胎儿窘迫发生的预测价值[J].河北医学,2017,23(7):1128-1132.
[8] Stumpfe FM,Faschingbauer F,Kehl S,et al. Correlation of short-term variation and Doppler parameters with adverse perinatal outcome in small-for-gestational age fetuses at term [J]. Arch Gynecol Obstet,2019,300(3):575-581.
[9] Delara M,Chauhan BF,Le ML,et al. Efficacy and safety of pulmonary application of corticosteroids in preterm infants with respiratory distress syndrome:a systematic review and meta-analysis [J]. Arch Dise Child,2019,104(2):137-144.
[10] 马强,蔺莉,梁雪静,等.彩色多普勒超声在妊娠期高血压孕妇子宫动脉血流动力学参数监测中的意义及对母婴结局影响[J].中国生育健康杂志,2019,30(6):524-529.
[11] Masihi S,Nikbakht R,Barati M,et al. Association Between Fetal Middle Cerebral Artery and Umbilical Artery Doppler Ratio with Fetal Distress in 38-40 Weeks of Gestation [J]. J Obstet Gynecol India,2019,69(2):509-513.
[12] 庄晖,李利波,梁梅珍,等.妊娠期糖尿病孕妇胎儿脐动脉频谱血流收缩期最大血流速度与舒张期血流速度比值对胎儿宫内窘迫的预测价值[J].陕西医学杂志,2017,46(6):715-717.
[13] 吴曼莉,赵敏,袁媛.妊娠期高血糖患者血浆同型半胱氨酸水平和脐动脉血流参数改变的相关性[J].现代检验医学杂志,2019,34(3):96-98,103.
[14] 尹晓燕,卞晓星,刘爱民.胎儿超声血流动力学及脐血血气分析联合检测对新生儿窒息的诊断意义[J].重庆医学,2019,48(9):1600-1602,1606.
[15] 牛梓涵,张培培,武玺宁,等.超声微血管成像评价胎盘灌注与胎儿生长发育关系的初步研究[J].中华超声影像学杂志,2021,30(8):691-696.
[16] 葛成霞,郭建锋.正常中晚孕胎盘弹性模量评价及影响因素初探[J].中国临床医学影像杂志,2019,30(10):726-729.
[17] 叶爱梅,李子军,艾小玉.日常胎动记录图预测和评估脐带绕颈胎儿宫内安危的价值研究[J].中国全科医学,2021,24(6):59-64.
[18] 郭琳娜,柴义青,黄帆,等.大脑中动脉血流指数诊断孕晚期不同孕周胎儿缺氧的意义[J].实用妇产科杂志,2018, 34(6):468-471.
[19] 任秀娥,王卓,郑晓芳,等.高危妊娠晚期胎儿脐动脉、大脑中动脉血流多普勒参数变化与不良妊娠结局的关系[J].影像科学与光化学,2020,38(3):447-452.
[20] 王立娟,勇强,包晶晶,等.胎儿脐带绕颈程度与胎儿左心室Tei指数及脐动脉S/D值相关性研究[J].中国超声医学杂志,2019,35(5):69-72.
[21] 薛林燕,赵旭,刘君,等.高原地区正常妊娠胎儿多普勒超声测定脐动脉血流变化与孕周的相关性[J].中国医药,2018,13(8):1240-1242.
[22] 张颖,洪林巍,王昕.彩色多普勒超声血流动力学参数预测胎儿窘迫临床意义研究[J].中国实用妇科与产科杂志,2018,34(1):110-113.
[23] 王流强,丁芸,辜艳丽.超声监测胎儿大脑中动脉和脐动脉血流对胎儿宫内窘迫的诊断价值[J].中国数字医学,2018,13(6):69-71.
[24] 陈伟,张东升,孔德岗.联合胎儿脐动脉及大脑中动脉血流动力学指标在检测妊娠晚期胎儿宫内窘迫中的应用[J].山西医药杂志,2017,46(18):2221-2223.
[25] 朱冬平,朱丽群,古清英.妊娠期高血压疾病产妇子宫动脉和胎儿脐动脉超声参数及妊娠结局的研究[J].中国当代医药,2020,27(22):157-159.
[26] 彭燕霞,陈平.妊娠期糖尿病孕妇胎儿脐动脉血流S/D值随孕周变化情况及其与胎儿窘迫的相关性[J].中国妇幼保健,2019,34(10):2221-2224. |
|
|
|