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目的:探讨胎儿脐动脉超声血流指标对肝素在产科临床应用中的价值。方法:选择2015年6月至2016年6月期间我院收治的100例FGR的妊娠中晚期孕妇作为研究对象,观察组给予补充营养治疗,对照组给予低分子肝素治疗。结果:超声检查结果显示:观察组的宫高、股骨长、头围、腹围、双顶径等指标均显著优于对照组,组间比较差异具有统计学意义(P<0.05);观察组的治疗后的PI、RI、S/D等指标比较具有显著性差异(P<0.05);两组新生儿结局比较具有统计学意义(P<0.05)。结论:低分子肝素有助改善胎盘的血流量,促进胎儿营养吸收,保持体重增长,降低足月小样儿的发生率,改善母婴结局。
Objective: To investigate the value of fetal umbilical artery ultrasound blood flow index in the clinical application of heparin in obstetrics. Methods: 100 pregnant women with late pregnancy who were treated in our hospital from June 2015 to June 2016 were enrolled in this study. The observation group was given nutritional supplementation and the control group was treated with low molecular weight heparin. Results: The results of ultrasonography showed that the indexes of uterine height, femur length, head circumference, abdominal circumference and biparietal diameter of the observation group were significantly better than those of the control group, with significant difference between the two groups (P <0.05); the observation group (P <0.05). There was significant difference between the two groups in neonatal outcome (P <0.05). Conclusion: Low molecular weight heparin can help improve the placental blood flow, promote fetal nutrition absorption, maintain weight gain, reduce the incidence of full-term small infants and improve maternal and infant outcomes.