2023年5月第30卷第5期70例胎儿生长受限脐动脉血流参数及围产期情况的研究分析邱燕红，郭慧玲，麦慕媛（江门市新会区妇幼保健院超声科，广东江门529100）【摘要】目的分析胎儿生长受限（FGR）脐动脉血流参数及围产期情况。方法选取2019年1月至2021年9月我院收治的70例胎儿生长受限（FGR）孕妇为观察组，70例胎儿无生长异常孕妇作为对照组。对比两组的胎儿脐动脉血流参数及围产期情况。结果与对照组相比，观察组胎儿脐动脉收缩期最大血流速度（PSV）、舒张末期血流速度（EDV）、时间平均峰值流速（TAmax）较低，S/D、搏动指数（PI）、阻力指数（RI）较高（P＜0.05）。观察组发生早产、脐带扭转及脐血流指标异常发生率及剖宫产率高于对照组（P＜0.05）。结论超声检测孕妇脐动脉血流频谱的速度参数及S/D、RI、PI对FGR诊断有重要参考价值；FGR孕妇早产、脐带扭转及脐血流指标异常发生率及剖宫产率高于正常孕妇。【关键词】胎儿生长受限；脐动脉；血流速度参数；脐带扭转；早产中图分类号：R714.5文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.05.0593StudyAnalysisonUmbilicalArteryBloodFlowParametersandPerinatalConditionsin70CasesofFetalGrowthRestric-tion//QIUYanhong,GUOHuiling,MAIMuyuan(DepartmentofUltrasound,XinhuiDistrictMaternalandChildHealthcareHospital,Jiangmen529100,China)[Abstract]ObjectiveToanalyzetheumbilicalarterybloodflowparametersandperinatalconditionsoffetalgrowthrestriction(FGR).Methods70FGRpregnantwomenadmittedtoourhospitalfromJanuary2019toSeptember2021wereselectedasobservationgroup,and70pregnantwomenwithoutfetalgrowthabnormalitywereselectedascontrolgroup.Thefetalumbilicalarterybloodflowparametersandperinatalconditionswerecomparedbetweenthetwogroups.ResultsComparedwithcontrolgroup,thefetalumbilicalarterypeaksystolicvelocity(PSV),enddiastolicvelocity(EDV)andtimeaveragepeakvelocity(TAmax)oftheobservationgroupwerelower,andtheS/D,pulsationindex(PI)andresistanceindex(RI)werehigher(P<0.05).Theincidencesofprematuredelivery,umbilicalcordtorsionandabnormalumbilicalbloodflowindicators,andthecesareansectionrateintheobservationgroupwerehigherthanthoseinthecontrolgroup(P<0.05).ConclusionsUltrasoundforvelocityparametersandS/D,RIandPIofumbilical...
