产前地塞米松对胎儿多普勒测速的影响

E. Abdalraheem, Z. M. Mustafa
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摘要

目的:本研究的目的是评估早产高危孕妇产前给予地塞米松后胎儿和子宫胎盘循环的变化。患者和方法:前瞻性研究于2021年1月至5月在提克里特市萨拉哈丁总医院/遗传生态学和产科进行,研究包括30名胎龄为24至34周的高危早产孕妇。在地塞米松给药前进行多普勒研究,并在地塞米松疗程结束后24小时重复。结果:本研究显示胎儿MCA脉搏指数平均值最高。地塞米松给药前有子宫早缩、前置胎盘和先兆子痫风险的妇女与给药后24小时的对照组比较,差异有统计学意义(P<0.05)。研究显示,与地塞米松给药后24小时相比,子宫早缩、先兆胎盘和子痫前期患者的胎儿MCA抵抗指数在给药前最高(P<0.05)。研究结果显示子宫动脉搏动指数平均值最高。地塞米松给药前与给药24小时后,分别观察子宫早缩、前置胎盘和先兆子痫妇女的水平。
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Role of Antenatal Dexamethasone Administration on Fetal Doppler Velocimetry
Aim: The aim of this study was assess the change in fetal and uteroplacental circulation followingantenatal dexamethasone administration to high-risk of preterm labor pregnant women.Patients and Methods: Prospective study was conducted between January and May 2021 in Tikrit cityat Salahadeen General Hospital /genecology and obstetrics department The study included 30 pregnantwomen with high risk of preterm labor with gestational age from 24 to 34 weeks. Doppler Study wereperformed just before dexamethasone administration and will be repeated 24 h after completion of thedexamethasone course.Results: The study showed the highest means of Fetal MCA pulsitility index. levels were recordedin women who at risk of preterm uterine contractions, placenta previa and pre-eclampsia respectivelybefore dexamethasone administration as compared with the same groups at 24 hour after dexamethasoneadministration (P<0.05). The study showed the highest means of Fetal MCA resistive index levels wererecorded in women with preterm uterine contractions, placenta previa and pre-eclampsia respectivelybefore dexamethasone administration as compared with the same groups 24 hour after dexamethasoneadministration (P<0.05). The study showed the highest means of Uterine artery pulsitility index.levels were observed in women with preterm uterine contractions, placenta previa and pre-eclampsiarespectively before dexamethasone administration as compared with the same groups 24 hour afterdexamethasone administration.
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