脑胎盘比评估对妊娠期高血压足月妊娠不良围产期结局的预测

Somaya Ahmad, Nahed Mohamad, Boshra Ali, Rania Mahfouz El Wahed
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引用次数: 0

摘要

背景妊娠高血压(HTN)患者在妊娠晚期进行脑胎盘比(CPR)评估可用于预测不良围产期结局。目的探讨控制妊娠期HTN的单胎足月妊娠后期CPR评估是否能预测可疑胎儿损害或不良围产期结局的发生。患者和方法本前瞻性研究在El Zahraa大学医院进行,将100名孕妇平均分为对照组和妊娠期HTN组。采用LOGIC V5超声仪测量脐动脉搏动指数、大脑中动脉搏动指数及心肺复苏术。结果妊娠高血压组平均CPR较对照组降低有统计学意义(P<0.001),妊娠高血压组平均估计胎重(P<0.001)和Apgar评分较对照组降低有高度统计学意义(P=0.012)。结论单胎足月妊娠HTN患者胎盘及胎儿循环脉搏指数的研究可为胎儿健康状况提供重要信息,为改善胎儿结局提供依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cerebroplacental ratio assessment for the prediction of adverse perinatal outcomes in gestational hypertensive term pregnancy
Background Cerebroplacental ratio (CPR) assessment in late third trimester in gestational hypertension (HTN) can be used to predict adverse perinatal outcome. Aim To evaluate whether CPR assessment in late pregnancy can predict suspected fetal compromise or occurrence of adverse perinatal outcomes in singleton term pregnancy with controlled gestational HTN. Patient and methods This prospective study was conducted in El Zahraa University Hospital on 100 pregnant women who were divided equally into control group and gestational HTN group. LOGIC V5 ultrasound equipment was used to measure umbilical artery pulsatility index and middle cerebral artery pulsatility index and CPR. Results There was a statistically significant decrease of the mean CPR in gestational hypertensive group when compared with the control group (P<0.001) and a highly statistically significant decrease in the mean estimated fetal weight (P<0.001) and Apgar score (P=0.012) in gestational hypertensive group when compared with the control group. Conclusion Study of the pulsatility indices of placental and fetal circulation in women with singleton term pregnancy who developed gestational HTN can provide important information about fetal well-being to be an opportunity to improve fetal outcome.
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