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抗心磷脂抗体联合彩色多普勒超声在预测重度子痫前期新生儿预后中的价值 被引量:9

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摘要 目的:探讨联合抗心磷脂抗体(ACA)和子宫动脉、胎儿脐动脉搏动指数(PI)、阻力指数(RI),脐动脉S/D变化在预测重度子痫前期新生儿低体重和新生儿窒息等不良结局方面的临床意义。方法:检测2012年1月至2012年6月间住院剖宫产分娩的115例晚期妊娠重度子痫前期孕妇血清ACA,应用彩色多普勒超声检测孕妇子宫动脉和胎儿脐动脉血流的PI、RI和S/D值,与新生儿体重和脐血PH值进行比较分析。结果:重度子痫前期孕妇中ACA阳性组与ACA阴性组比较,子宫动脉和胎儿脐动脉血流参数均显著升高;ACA阳性重度子痫前期孕妇新生儿体重和脐血PH值均显著低于ACA阴性孕妇;ACA阳性重度子痫前期孕妇胎儿脐动脉S/D与新生儿体重及脐血PH值均呈负相关(P<0.05)。结论:联合ACA和彩色多普勒超声预测重度子痫前期新生儿预后具有重要临床意义。
出处 《中国妇幼保健》 CAS 北大核心 2013年第30期5081-5082,共2页 Maternal and Child Health Care of China
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