【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更多还原

【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.更多还原