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彩色多普勒超声检测妊高征孕妇肾内动脉血流指数的临床应用价值

Maternal intrarenal artery Doppler velocimetry in pregnancy induced hypertension

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【作者】 周毓青张珏华李笑天

【Author】 ZHOU Yuqing, ZHANG Juehua, LI Xiaotian, et al. Department of Ultrasonography, Obstetrics and Gynecology Hospital, Shanghai Medical University, Shanghai 200011 Department of Ultrasonography, Obstetrics and Gynecology Hospital, Shanghai Medical University,

【机构】 上海医科大学妇产科医院超声室

【摘要】 目的 探讨彩超检测妊高征(PIH)孕妇肾内动脉(IRA)血流指数的临床应用价值。方法 应用彩超检测46例PIH孕妇IRA 的搏动指数(PI)、阻力指数(RI), 并与186例正常孕妇进行对照。 结果①PIH 孕妇IRA的PI、RI较正常孕妇明显升高(P< 0.001), 且中重度PIH孕妇IRA的PI较轻度PIH进一步升高(P< 0.001); ②PIH孕妇IRA的PI、RI与PIH分类(P< 0.001)、尿蛋白量(P< 0.01)、平均动脉压(P< 0.05)成一定程度正相关, 且以PI的相关性最好。结论 彩超检测PIH孕妇IRA的Doppler血流指数对临床观察、治疗PIH具有一定的参考意义, 其中PI可能为更好的观察指标

【Abstract】 Objective To evaluate the value of Doppler indices of intrarenal artery (IRA) in clinic observation in pregnancy induced hypertension (PIH). Methods Forty six cases of PIH underwent Doppler measurment of PI, RI in IRA, and 186 normotensive pregnant women were measured as control. Results ①There was a larger increase of IRAPI and IRARI in PIH than in normal prgnant (P<0.001), and IRAPI is significantly higher in moderate and severe PIHs than in mild PIH (P<0.001), ②IRAPI, IRARI correlate positively with classification of PIH (P<0.001), proteinuria (P<0.001) and MAP (P<0.05), and IRAPI is the best one. Conclusions It is of a certain significance to the clinical observation and treatment of PIH by using color Doppler to examine the indices of IRA in the pregnant women with PIH.

  • 【文献出处】 中华超声影像学杂志 ,CHINESE JOURNAL OF UITRASONOGRAPHY , 编辑部邮箱 ,1999年06期
  • 【分类号】R714.246
  • 【被引频次】1
  • 【下载频次】44
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