彩色多普勒超声评估胎儿窘迫的效果研究

目的研究及探讨彩色多普勒超声评估胎儿窘迫的效果。方法选取2014年1月-2015年5月于该院进行诊治的74例胎儿窘迫孕产妇为观察组,同期的74例正常孕产妇为对照组,然后采用彩色多普勒超声检查两组胎儿的大脑中动脉、脐动脉及肾动脉血流指标(S/D、PI及RI),并比较对照组和观察组,观察组中轻度、中度及重度窘迫者的检查结果。结果观察组胎儿大脑中动脉血流指标均低于对照组,脐动脉及肾动脉血流指标均高于对照组,差异均有统计学意义(均P<0. 05);且观察组重度窘迫者的胎儿大脑中动血流指标均低于轻度及中度窘迫者,中度窘迫者低于轻度窘迫者;重度窘迫者的脐动脉及肾动脉血流指标均高于轻度及中度窘迫者,中度窘迫者则高于轻度窘迫者,差异有统计学意义(P<0. 05)。结论彩色多普勒超声评估胎儿窘迫的效果较好,对于胎儿窘迫的诊断及严重程度的了解价值均较高。

Study on the effect of color Doppler ultrasound in the evaluation of fetal distress

Objective To study and investigate the effect of color Doppler ultrasound in the evaluation of fetal distress. Methods74 pregnant women with fetal distress in our hospital from January 2014 to May 2015 were selected as the observation group,74 normal pregnant women at the same period were selected as the control group,then the blood flow indexes of two groups’ fetal middle cerebral artery,umbilical artery and renal artery were detected with color Doppler ultrasound,and the detection results of control group and observation group,observation group with mild,moderate and severe distress were compared too. Results The blood flow indexes of observation group’s fetal middle cerebral artery were all lower than those of control group,the blood flow indexes of observation group’s fetal umbilical artery and renal artery were all higher than those of control group,there were statistically significant differences( P<0. 05);the fetal middle cerebral artery blood flow indexes of observation group with severe disease were lower than those of patients with mild and moderate disease,the results of patients with mild and moderate disease were lower than those of patients with mild disease,the umbilical artery and renal artery blood flow indexes of observation group with severe disease were higher than those of patients with mild and moderate disease,the results of patients with mild and moderate disease were higher than those of patients with mild disease,there were statistically significant differences( P<0. 05). Conclusion The effect of color Doppler ultrasound in the evaluation of fetal distress are better,and its diagnosic value for the fetal distress and understand value for the severity are higher.