| 摘要: |
| 【】目的：研究超声联合测定脐动脉(umbilical artery；UA)和大脑中动脉(middle cerebral artery；MCA)SD值对高龄二胎孕妇胎儿窘迫的诊断价值。方法：将我院足月生产在胎儿期发生呼吸窘迫症状的117例患儿作为研究对象,另外选择100例健康胎儿作为对照,回顾性分析其在32至41周行彩色多普勒检查结果并进行分析。结果：对两组患者进行检查,并且比较两组患者的(S/D)UA、(S/D)MCA和S/D(UA/MCA)值发现观察组的(S/D)UA和S/D(UA/MCA)显著高于对照组,而(S/D)MCA显著低于对照组,相比之下差异有统计学意义,p＜0.05. 对三种方法的灵敏度及特异度进行比较发现,(S/D)UA值法的诊断价值与(S/D)MCA值法的诊断价值相比无差异,p＞0.05,而S/D(UA/MCA)与(S/D)UA值法和(S/D)MCA值法相比,差异均有统计学意义,p均＜0.05.结论：使用(S/D)UA和(S/D)MCA诊断胎儿窘迫有一定临床意义,但是使用S/D(UA/MCA)值进行诊断灵敏度及特异度更高,值得广泛推广及应用。 |
| 关键词: |
| DOI： |
| 投稿时间：2017-06-20修订日期：2017-10-18 |
| 基金项目: |
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| Diagnostic value of umbilical artery and middle cerebral artery SD in the diagnosis of fetal distress in two elderly pregnant women by ultrasonography |
| Huang Jing |
| () |
| Abstract: |
| 【】 Objective: To evaluate the diagnostic value of umbilical artery (UA) and middle cerebral artery (MCA) SD in the diagnosis of fetal distress in two pregnant women. Methods: A total of 117 children with respiratory distress symptoms during the fetus were selected as the subjects. 100 healthy fetuses were selected as controls. The results of color Doppler examination were analyzed retrospectively at 32 to 41 weeks. To analyze. Results: The (S / D) UA, (S / D) MCA and S / D (UA / MCA) values ??of the two groups were compared between the two groups (S / D) UA and S / D (UA / MCA) was significantly higher than that of the control group, while the (S / D) MCA was significantly lower than the control group, compared with the difference was statistically significant, p <0.05. The sensitivity and specificity of the three methods The diagnostic value of (S / D) UA method was not significantly different from that of S (S / D) MCA method, p> 0.05, while S / D (UA / MCA) and (S / D) (S / D) and UA and (S / D) MCA were statistically significant (P <0.05) .Conclusion: The use of (S / D) UA and (S / D) MCA in the diagnosis of fetal distress has certain clinical significance, But the use of S / D (UA / MCA) value for diagnostic sensitivity and specificity is higher, worthy of extensive promotion and application. |
| Key words: umbilical artery middle cerebral artery elderly two pregnant women fetal distress |
