Analysis of the application value of color Doppler ultrasound in the diagnosis of fetal distressin patients with gestational hypertension
彩色多普勒超声在妊娠期高血压疾病患者胎儿宫内窘迫诊断中的应用价值分析

摘要

目的 分析妊娠期高血压疾病患者胎儿宫内窘迫诊断中采取彩色多普勒超声诊断的效果。方法 将于2021年2月-2022年2月期间收治的妊娠期高血压疾病患者胎儿宫内窘迫100例作为研究对象，将其设为实验组。将同期正常晚期分娩的100例孕妇为参考组。对上述两组施行彩色多普勒超声诊断，分析两组诊断结果。结果 脐动脉S/D、PI及RI中实验组高（P＜0.05）。大脑中动脉S/D、PI及RI中实验组显低（P＜0.05）。肾动脉S/D、PI及RI中实验组显高（P＜0.05）。新生儿指标，实验组1分钟Apgarr＜7分、胎心率异常、羊水污染及新生儿异常均高于参考组（P＜0.05）。结论 妊娠期高血压疾病患者胎儿宫内窘迫诊断中采取彩色多普勒超声具有较高的诊断价值，可预测胎儿宫内窘迫，且有助于确定合适的分娩时机及对胎儿生命予以抢救。

Abstract

Objective To analyze the effectiveness of color Doppler ultrasound in the diagnosis of fetal distress in patients with gestational hypertension.
Methods 100 cases of fetal distress in pregnancy induced hypertension patients admitted between February 2021 and February 2022 were selected as the study subjects and assigned to the experimental group. 100 pregnant women who had normal late delivery during the same period were used as the reference group. Perform color Doppler ultrasound diagnosis on the above two groups and analyze the diagnostic results of both groups.
Results The S/D, PI and RI of umbilical artery were higher in the experimental group (P<0.05). The S/D, PI, and RI of the middle cerebral artery in the experimental group were significantly lower (P<0.05). The experimental group showed significantly higher levels of renal artery S/D, PI, and RI (P<0.05). Neonatal indicators, Apgarr<7 in 1 minute, abnormal fetal heart rate, amniotic fluid contamination, and neonatal abnormalities in the experimental group were higher than those in the reference group (P<0.05).
Conclusion   The use of color Doppler ultrasound in the diagnosis of fetal distress in patients with gestational hypertension has high diagnostic value, can predict fetal distress, and help determine the appropriate delivery time and rescue fetal life.