Volume 20 Issue 9
Sep.  2022
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CHU Hua, LU Yan, LIU Ming-song. The correlation between the dynamic analysis of uterine artery ultrasound parameters during pregnancy and the risk of preeclampsia[J]. Chinese Journal of General Practice, 2022, 20(9): 1545-1547. doi: 10.16766/j.cnki.issn.1674-4152.002645
Citation: CHU Hua, LU Yan, LIU Ming-song. The correlation between the dynamic analysis of uterine artery ultrasound parameters during pregnancy and the risk of preeclampsia[J]. Chinese Journal of General Practice, 2022, 20(9): 1545-1547. doi: 10.16766/j.cnki.issn.1674-4152.002645

The correlation between the dynamic analysis of uterine artery ultrasound parameters during pregnancy and the risk of preeclampsia

doi: 10.16766/j.cnki.issn.1674-4152.002645
Funds:

 2021KY1084

 2019GYB15

  • Received Date: 2021-12-14
    Available Online: 2022-11-29
  •   Objective  To dynamically analyse the ultrasound parameters of uterine arteries and their correlation with the risk of preeclampsia in pregnant patients.  Methods  A total of 60 cases of preeclampsia patients who received uterine artery ultrasonography in Huzhou Maternity and Children ' s Health Hospital from January 2020 to October 2021 were included in the preeclampsia group, and 60 patients who received uterine artery ultrasonography during the same period without preeclampsia were included as the control group. The ultrasound parameters of the uterine artery during pregnancy and their correlation with preeclampsia during pregnancy were dynamically analysed.  Results  The RI value, PI value and S/D value of pregnant women in both groups decreased with the prolongation of pregnancy, and the RI value, PI value and S/D value of the control group were lower than those of the preeclampsia group (all P < 0.05). Pearson correlation coefficient analysis showed that the RI value, PI value and S/D value at 11-16 weeks of pregnancy and 20-24 weeks of pregnancy were positively correlated with the risk of preeclampsia (r=0.602, 0.774, 0.638; r=0.809, 0.833, 0.608, all P < 0.05). Multivariate logistic regression analysis showed that high RI value, high PI value and high S/D value at 11-16 weeks of pregnancy and 20-24 weeks of pregnancy were the risk factors of preeclampsia in pregnant women (OR=2.463, 1.239, 1.599; OR=1.643, 1.568, 1.741, all P < 0.05). ROC curve analysis showed that the predictive value of uterine artery ultrasound parameters at 11-16 weeks of gestation (AUC was 0.965) was higher than the uterine artery ultrasound parameters at 20-24 weeks of gestation (AUC was 0.885, P < 0.05).  Conclusion  The RI, PI and S/D index of the uterine artery in pregnant women decrease with the prolongation of pregnancy, which is positively correlated with the risk of preeclampsia in pregnant women, and can be used as a predictor of the risk of preeclampsia in pregnant women.

     

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