袁丽君,段云友,张勇,曹铁生,王静.妊高征患者眼动脉多普勒超声特点及其与总外周血管阻力指数的相关性[J].中国医学影像技术,2000,16(8):622~624
妊高征患者眼动脉多普勒超声特点及其与总外周血管阻力指数的相关性
Characteristics of Ophthalmic Artery in Pregnancy2induced Hypertension and ItsRelationship with the Total Peripheral Vascular ResistanceIndex with Doppler Ultrasonography
投稿时间:2000-06-06  
DOI:
中文关键词:  妊高征  多普勒超声  眼动脉  总血管阻力
英文关键词:Pregnancy-induced hypertension  Doppler ultrasonography  Ophthalmic artery  Total peripheral vascular resistance
基金项目:
作者单位
袁丽君 第四军医大学唐都医院, 陕西西安 710038 
段云友 第四军医大学唐都医院, 陕西西安 710038 
张勇 第四军医大学唐都医院, 陕西西安 710038 
曹铁生 第四军医大学唐都医院, 陕西西安 710038 
王静 第四军医大学唐都医院, 陕西西安 710038 
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中文摘要:
      目的 探讨妊高征患者的眼动脉(OA) 多普勒超声特点及其与总外周血管阻力的关系。方法 妊高征(PIH) 患者35 例,正常妊娠(NP) 26 例,在彩色多普勒超声引导下,利用脉冲多普勒测量OA 的血流参数,测量主动脉瓣环处内径并记录该处血流频谱,计算总外周血管阻力指数( TPVRI) 。结果 与NP 组比较PIH 组OA 的RI 及PI 明显减低( P < 0.05) ;B 峰显著增高( P < 0.01) ;B/ A 显著增大(0.74 ±0.13 vs 0.47 ±0.15 P < 0.01) ,与TPVRI及平均动脉压(MAP) 明显相关, r 分别为0.66 和0.63 ( P 均< 0.001) 。结论 妊高征患者OA 血流动力学变化以阻力减低、B 峰值流速增快及B/ A 值增高为主,且与TPVRI 增高相一致。B/ A 在一定程度上可反映TPVRI 的大小。
英文摘要:
      Purpose  To investigate the characteristics of ophthalmic artery (OA) in severe pregnancy-induced hypertension (PIH) patients and the correlation with the total peripheral vascular resistance index ( TPVRI) by Doppler ultrasonography. Methods  We measured the OA flow parameters in 35 PIH and 26 normal pregnant (NP) women. The spectrumand diameter of aorta were recorded to calculate TPVRI. Results  The B/ A ratio of OA were significantly increased compared with NP group (0.74 ±0.13 vs 0.47 ±0.15 , P < 0.01) which has excellent correlation with the TPVRI and meanarterial pressure ( r = 0.66 , P < 0.001 , r = 0.63 , P < 0.001) . While the PIH group’s B peak velocity was significantlyhigher and RI was lower than NP group ones. Conclusion  The most significant changes of the OA hemodynamics werethe decreased RI ,increased B velocity and the ratio B/ A that corresponded with the increasing of TPVRI. Changes in B/ Aratio may be indicative of similar changes in TPVRI.
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