Ben-Ami M, Battino S, Geslevich Y, Shalev E
Department of Obstetrics and Gynaecology, Central Emek Hospital, Afula, Israel.
Am J Perinatol. 1995 Nov;12(6):437-8. doi: 10.1055/s-2007-994515.
To evaluate a random single Doppler study of the systolic to diastolic ratio of the umbilical artery as a predictor of perinatal outcome in diabetic pregnancies, a prospective double-blind study was performed in 92 diabetic pregnant women between 28 and 40 weeks of gestation. Main outcome measures were perinatal outcome: group A, normal outcome; group B, poor outcome. The sensitivity and specificity of the Doppler studies as a predictor of poor perinatal outcome were 39% and 92%, respectively. The positive and negative predictive values were 54% and 86%, respectively. Our results suggest that the systolic to diastolic ratio of the umbilical artery offers no advantage over other well-established tests in the management of diabetic pregnancies.
为评估脐动脉收缩压与舒张压比值的随机单多普勒研究作为糖尿病妊娠围产期结局预测指标的价值，对92例妊娠28至40周的糖尿病孕妇进行了一项前瞻性双盲研究。主要结局指标为围产期结局：A组，正常结局；B组，不良结局。多普勒研究作为围产期不良结局预测指标的敏感性和特异性分别为39%和92%。阳性预测值和阴性预测值分别为54%和86%。我们的结果表明，在糖尿病妊娠管理中，脐动脉收缩压与舒张压比值相比其他成熟的检查并无优势。
