妊娠晚期子宫动脉多普勒测量对重度先兆子痫患者产妇产后预后的评价

Mohamed El Nagar, K. El Sheikha, A. Sedek
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引用次数: 0

摘要

文章信息背景:先兆子痫是一种常见的妊娠疾病,在孕产妇和胎儿的发病率和死亡率中占很大比例。子痫、肺水肿、HELLP综合征、脑出血、严重肾功能衰竭、胎盘早剥和弥漫性血管内凝血是先兆子痫的母体后果。工作目的:分析重度子痫前期妇女的母体问题和子宫动脉多普勒测量之间的关系。患者和方法:来自Sayed Galal和Shebin El Kom教学医院的200名孕妇参加了一项病例对照研究。本研究使用了两组孕妇。第一组[病例组]由100名有单胎妊娠能力的孕妇组成,除先兆子痫外,没有其他产科并发症或疾病。第二组(对照组)有100名孕妇没有先兆子痫。入院时,进行子宫动脉多普勒检查,并对产后结果进行评估。结果:子宫动脉与对照组相比,病例组的多普勒阻力高得多,这与子痫、少尿、肾功能衰竭、HELLP和输血的增加有关。结论:孕晚期高阻子宫动脉多普勒可用于预测产后不良结局。
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Measurement of Third-Trimester Uterine Artery Doppler for Evaluation of Maternal Postpartum Outcome among Patients with Severe Pre-Eclampsia
Article information Background: Preeclampsia is a frequent pregnancy disease that accounts for a significant portion of maternal and foetal morbidity and mortality. Eclampsia, pulmonary edema, HELLP syndrome, cerebral hemorrhage, severe renal failure, placental abruption, and disseminated intravascular coagulation are among the maternal consequences of pre-eclampsia [DIC]. Aim of the work: To analyze the relationship between maternal problems and uterine artery Doppler measures in women with severe pre-eclampsia. Patients and Methods: 200 pregnant patients from Sayed Galal and Shebin El-Kom teaching hospitals participated in a case-control study. Two groups of pregnant women were used in this study. Group I [Case group] consisted of 100 pregnant women with viable singleton pregnancies and no other obstetric complications or morbidities aside from preeclampsia. There were 100 expectant women in Group II [the Control group] who did not have pre-eclampsia. At admission, uterine artery Doppler was performed, and the postpartum result was assessed. Results: Uterine artery When compared to the control group, the case group's Doppler had a much higher resistance, which was linked to an increase in eclampsia, oliguria, renal failure, HELLP, and blood transfusions. Conclusion: Third trimester High-resistance uterine artery Doppler can be used to predict adverse postpartum outcome.
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