[1]邓彦明,万建芳,范 涛,等.改进型超声生物物理评分对胎儿宫内窘迫的预测价值[J].陕西医学杂志,2022,51(8):970-973.[doi:DOI:10.3969/j.issn.1000-7377.2022.08.015]
　DENG Yanming,WAN Jianfang,FAN Tao,et al.Predictive value of improved ultrasound biophysical score for intrauterine fetal distress[J].,2022,51(8):970-973.[doi:DOI:10.3969/j.issn.1000-7377.2022.08.015]
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改进型超声生物物理评分对胎儿宫内窘迫的预测价值
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年8期
页码:
970-973
栏目:
临床研究
出版日期:
2022-08-05

文章信息/Info

Title:
Predictive value of improved ultrasound biophysical score for intrauterine fetal distress
作者:
邓彦明; 万建芳; 范 涛; 黄 惠
(上海市浦东医院 复旦大学附属浦东医院超声医学科,上海 201399)
Author(s):
DENG Yanming; WAN Jianfang; FAN Tao; HUANG Hui
(Department of Ultrasound Medicine,Shanghai Pudong Hospital,Shanghai 201399,China)
关键词:
宫内窘迫;  胎儿;  脐动脉血流监测;  胎心监护;  预测价值
Keywords:
Intrauterine distress;  Fetus;  Umbilical artery blood flow monitoring;  Fetal heart rate monitoring;  Predictive value
分类号:
R 714.7
DOI:
DOI:10.3969/j.issn.1000-7377.2022.08.015
文献标志码:
A
摘要:
目的:探究改进型超声生物物理评分对胎儿宫内窘迫的预测价值。方法:选取正规产检的孕34～37周孕妇86例为研究对象,利用改进型超声生物物理评分对胎儿进行综合评分,将孕妇分为A组(8～10分,n=49)、B组(5～7分,n=21)和C组(0～4分,n=16)。所有孕妇均行脐动脉血流监测及胎心监护(NST),比较各组脐动脉收缩期与舒张期流速比值(S/D)、NST监测结果、新生儿Apgar评分、宫内窘迫发生率和新生儿不良事件发生情况,分析改进型超声生物物理评分预测胎儿宫内窘迫的灵敏度、特异度和准确度。结果:A组脐动脉S/D值、无反应型比例均低于B、C组,差异均有统计学意义(均P<0.05)。各组新生儿Apgar评分比较:A组>B组>C组,宫内窘迫发生率比较:A组
Abstract:
Objective:To explore the predictive value of improved ultrasound biophysical score for intrauterine fetal distress.Methods:A total of 86 pregnant women at 34 to 37 weeks of gestation who received regular production inspection were selected as the research subjects.The fetuses were comprehensively scored by using improved ultrasound biophysical score,and the pregnant women were divided into group A(8 to 10,49 cases),group B(5 to 7,21 cases)and group C(0 to 4,16 cases)according to the score.All pregnant women received umbilical artery blood flow monitoring and fetal heart rate monitoring(NST).The umbilical artery systolic to diastolic flow velocity(S/D)ratio,NST monitoring results,neonatal Apgar score,the incidence of intrauterine distress and the occurrence of adverse events in newborns were compared between the groups.The sensitivity,specificity and accuracy of improved ultrasound biophysical score in predicting intrauterine fetal distress were analyzed.Results:The umbilical artery S/D and the proportion of reactive type in group A were higher than those in group B and group C(all P<0.05).Neonatal Apgar scores of group A,group B,and group C decreased in sequence,and the incidence of intrauterine distress increased in sequence from group A,group B to group C(all P<0.05).The incidence of low birth weight,growth restriction and hypoxic-ischemic encephalopathy in group A were lower than those in group B and C(all P<0.05).The neonatal Apgar score of pregnant women with umbilical artery S/D ≥3 was significantly lower than that of pregnant women with umbilical artery S/D <3,and the incidence of intrauterine distress was higher than that in pregnant women with umbilical artery S/D <3(all P<0.01).The neonatal Apgar score of reactive pregnant women was significantly higher than that of non-reactive pregnant women,and the incidence of intrauterine distress was lower than that in non-reactive pregnant women.The sensitivity,specificity and accuracy of improved ultrasound biophysical score in predicting intrauterine fetal distress were higher than those of umbilical artery blood flow monitoring and NST monitoring(all P<0.05).Conclusion:The improved ultrasound biophysical score has high sensitivity and accuracy in predicting intrauterine fetal distress,and can be used to predict intrauterine fetal distress more accurately.

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备注/Memo

备注/Memo:
基金项目:上海市浦东新区卫生健康委员会卫生科技发展专项基金资助项目(PW2020B-9)
更新日期/Last Update: 2022-08-04