周萍

[摘要] 目的 对妊娠期糖尿病胎儿脐动脉、大脑中动脉血流彩色多普勒超声检测的诊断价值进行研究和分析。方法 选择200例孕妇作为实验研究对象，其中100例孕妇为妊娠期糖尿病孕妇（实验组），100名孕妇为正常孕妇（对照组），选取时间为2016年5月—2019年5月。对两组孕妇的胎儿脐动脉和大脑中动脉血流进行彩色多普勒超声检测，对检测结果进行比较和分析。结果 经过彩色多普勒对两组孕妇检测发现，对照组在脐动脉的搏动指数、阻力指数以及脐动脉舒张压血流峰速比值方面都要低于实验组，而在大脑中动脉的搏动指数、阻力指数以及脐动脉舒张压血流峰速比值方面都要高于实验组，组间数据对比差异有统计学意义（P<0.05）。结论 通过对妊娠期糖尿病胎儿大脑中动脉及胎儿脐动脉血流的彩色多普勒超声检测，能够尽早的发现胎儿缺氧的情况，有利于及时采取临床手段对患者进行治疗。

[关键词] 妊娠期糖尿病;胎儿脐动脉;大脑中动脉;彩色多普勒超声检测

[中图分类号] R445.1          [文献标识码] A          [文章编号] 1672-4062（2020）01（b）-0003-03

[Abstract] Objective To study and analyze the diagnostic value of color Doppler ultrasonography in the bloodstream of umbilical artery and middle cerebral artery in gestational diabetes. Methods 200 pregnant women were selected as experimental subjects. Among them， 100 pregnant women were pregnant women with gestational diabetes （experimental group）， and 100 pregnant women were normal pregnant women （control group）. The time was from May 2016 to May 2019. Color Doppler ultrasonography was performed on the fetal umbilical artery and middle cerebral artery blood flow of the two groups of pregnant women， and the results were compared and analyzed. Results After color Doppler examination of the two groups of pregnant women， the pulsation index， resistance index and peak ratio of umbilical artery diastolic blood flow in the umbilical artery were lower than those in the experimental group， and the pulsation of the middle cerebral artery was observed. The ratios of index， resistance index and peak velocity of umbilical artery diastolic blood pressure were higher than those of the experimental group. The difference was statistically significant in data between groups（P<0.05）. Conclusion Color Doppler ultrasonography of fetal middle cerebral artery and fetal umbilical arterial blood flow in gestational diabetes can detect fetal hypoxia as early as possible， which is beneficial to timely clinical treatment of patients.

[Key words] Gestational diabetes; Fetal umbilical artery; Middle cerebral artery; Color Doppler ultrasonography

在高危妊娠病症的种类中，妊娠期糖尿病是重要的一种。尤其是随着近些年来人民群众生活条件的改善，饮食结构的变化，使得妊娠期糖尿病发病人群逐年呈上升趋势。妊娠期糖尿病可能会引发其他不良反应，如果治疗不当，对孕妇和胎儿的健康都会造成十分严重的威胁[1]。临床实践中多通过对胎儿脐动脉、大脑中动脉血流指标的情况来为臨床诊断和治疗提供参考。鉴于这种情况，该文选取2016年5月—2019年5月收治的200例孕妇为研究对象，对妊娠期糖尿病胎儿脐动脉、大脑中动脉血流彩色多普勒超声检测的诊断价值进行研究和分析。……