Lv Maoting, Yu Shanshan, Li Yongzhen, Zhang Xiaoting, Zhao Dan
Second Department of Ultrasound Diagnosis, Cangzhou Central Hospital, Cangzhou, China.
Delivery Room, Cangzhou Central Hospital, Cangzhou, China.
Evid Based Complement Alternat Med. 2022 Apr 27;2022:2019869. doi: 10.1155/2022/2019869. eCollection 2022.
Pregnancy-induced hypertension syndrome (PIH) is a common pregnancy syndrome that could cause varying degrees of maternal and fetal organic damage and even endanger their lives. This study aimed to investigate ultrasound of fetal cardiac function changes in PIH. Totally 40 cases of gestational hypertension admitted to Cangzhou Central Hospital between October 2018 and September 2019 were enrolled in the hypertension group, and 40 women with healthy pregnancies during the same period were assigned to the normal group. Ultrasound results showed that PIH was associated with a significantly higher fetal cardiac septal thickness, fetal left ventricular end-diastolic area and end-systolic area, fetal right ventricular end-diastolic area and end-systolic area, fetal left ventricular systolic fraction 1 (VSF1), fetal left ventricular systolic fraction 2 (VSF2), fetal right VSF1, and fetal right VSF2 versus healthy pregnancy. The PIH fetuses had significantly lower neonatal weights versus healthy fetuses. Newborns of hypertensive pregnancies have larger hearts, faster heart rates, increased cardiac contractility, and lower weights versus newborns of healthy pregnancies.
妊娠高血压综合征（PIH）是一种常见的妊娠综合征，可导致不同程度的母婴器质性损害，甚至危及生命。本研究旨在探讨PIH患者胎儿心功能的超声变化。将2018年10月至2019年9月期间入住沧州市中心医院的40例妊娠期高血压患者纳入高血压组，同期选取40例正常妊娠妇女作为正常组。超声结果显示，与正常妊娠相比，PIH患者胎儿心脏室间隔厚度、胎儿左心室舒张末期面积和收缩末期面积、胎儿右心室舒张末期面积和收缩末期面积、胎儿左心室收缩分数1（VSF1）、胎儿左心室收缩分数2（VSF2）、胎儿右VSF1和胎儿右VSF2均显著升高。PIH胎儿的出生体重显著低于健康胎儿。与健康妊娠的新生儿相比，高血压妊娠的新生儿心脏更大、心率更快、心脏收缩力增强且体重更低。
