摘要
为探讨妊娠期血液动力学的变化,为妊高征的早期预测提供依据。采用MP妊高征监测系统(简称MP系统)对80例非妊娠妇女(对照组)的左心室收缩功能与二维超声心动图进行同步检测,以了解MP系统的可靠性。同时对397例孕产妇在整个妊娠期进行系统连续地血液动力学监测,并与对照组进行比较。结果两种检测方法在SV、SI、CO、CI测值上无明显差异(P>0.05).二者相关性良好(r=0.92)。正常妊娠早期,MAP、CO、CI和AC开始升高,TPR和V下降,尤其孕中期TPR下降更显著(P<0.05)。而妊高征在妊娠中期MAP、TPR和V显著升高(P<0.01)。CO、CI、SV、SI、AC有下降趋势(P<0.05)。结果提示用MP系统进行血液动力学检测其参数有较高的可靠性,妊娠期用此系统动态监测血液动力学的变化规律,可以对妊高征的发生进行预测,从而对妊高征的筛查和防治具有较高的应用价值。
To inquire the exchange of the Blood Motivity during gestational period,and to furnish evidence for forecasting the gestation hypertension disease. Making synchronism inspections on 80 nonpregnant women's (as comparing group)left ventrcle's contracting function and two -dimensions ultrasonic cardiongrams to find the reliability of the MP system in using MP GHD. At the same time,making systematic and contmous blood motivity inspection on 397 pregnant women during the whole pregnant period' and contrast the results to the compared group. As a elult,the two methods have no obvious differences in the results of SV.SI.CO.CI(P>0. 05),they have good interrelations( r =0. 92). During the normal early pregnant stage,MAP,CO,CI.AC begin to rise,TPR and V descend,especially in the middle pregnant period TPR descend more obviously( P <0. 05). but the MAP,TPR and V rise obviously( P <0. 01) ,CO,CI.SV,S1,AC have downtrend( P <0. 05). Conclusion Point The parametere got by using MP system from the blood motivity inspection has quite good reliability. Using this system to do inspection the exchange regularity on blood motivity dynamicly can make forecast for the gestation hypertension. So it has high applied value in sifting,prevention and curing the GP.
出处
《医学理论与实践》
2000年第2期81-83,共3页
The Journal of Medical Theory and Practice
关键词
妊娠期
超声心动图
血液动力学
妊娠高血压
MPgestation hypertension inspecting system Two-dimensions ultrasonic cardigram Blood motivity Regular gestation Gestation hypertension disease
