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目的探讨妊娠图筛查在产前诊断胎儿生长受限(FGR)中的意义,为FGR的诊断提供理论依据。方法选取2010年1月~2014年12月在该院定期产检的孕妇1 380例,对其孕期保健资料进行回顾性分析,并绘制妊娠图,筛查FGR的高危孕妇,并进行超声检查确诊,观察FGR孕妇的妊娠结局。结果妊娠图筛查结果显示,1 380例孕妇中有25例为FGR高危者,其中22例经超声检查诊断为FGR。FGR孕妇的宫高和腹围水平均低于正常孕妇,且增长缓慢。FGR孕妇的新生儿窒息率、剖宫产率和早产率均高于非FGR孕妇,且新生儿体重显著低于非FGR孕妇(P均<0.05)。结论妊娠图筛查对FGR高危孕妇的诊断具有重要意义。在产前检查中应重视孕妇宫高和腹围的异常增长情况。对孕期怀疑或诊断FGR的孕妇,应进行早期干预,以改善妊娠结局。
Objective To investigate the significance of pregnancy screening in prenatal diagnosis of fetal growth restriction (FGR), and to provide a theoretical basis for the diagnosis of FGR. Methods A total of 1 380 pregnant women undergoing regular antenatal examination from January 2010 to December 2014 were retrospectively analyzed. Pregnancy data were drawn and pregnant women at high risk of FGR screening were screened. Ultrasonography was used to confirm the diagnosis. Observe the pregnancy outcome of FGR pregnant women. Results The results of pregnancy screening showed that 25 of 1,380 pregnant women were at high risk of FGR. Twenty-two of them were diagnosed as FGR by ultrasonography. FGR pregnant women with lower uterine height and abdominal circumference than normal pregnant women, and slow growth. Neonatal asphyxia, cesarean section rate and premature delivery rate of FGR pregnant women were higher than those of non-FGR pregnant women, and the weight of newborns was significantly lower than that of non-FGR pregnant women (all P <0.05). Conclusion Pregnancy map screening is of great significance for the diagnosis of high-risk FGR pregnant women. In prenatal care should pay attention to the abnormal growth of uterine height and abdominal circumference of pregnant women. Pregnant women with suspected or diagnosed FGR during pregnancy should undergo early intervention to improve their pregnancy outcome.