Magnesium Sulfate Effect on Fetal Umbilical Artery and Middle Cerebral Artery Doppler Indicies in Women with Severe Preeclampsia and Eclampsia

Nermeen Mohamed Hefila

摘要

Objective: To study MgSO4 effect>> style="font-family:""> style="font-family:Verdana;"> style="font-family:Verdana;"> style="font-family:Verdana;">on fetal MCA and UA blood flow changes>> style="font-family:""> style="font-family:Verdana;"> style="font-family:Verdana;"> style="font-family:Verdana;">using Doppler ultrasound>> style="font-family:""> >> style="font-family:""> style="font-family:Verdana;">in cases of severe PET and eclampsia. style="font-family:Verdana;">Materials and Methods: style="font-family:Verdana;">A total of 40 patients with severe PET admitted to El-Shatby Maternity University Hospital, Alexandria (Egypt) were examined before and after administration of MgSO_{style="font-family:Verdana;">4} style="font-family:Verdana;"> using Doppler study to measure fetal MCA>> style="font-family:""> >> style="font-family:""> style="font-family:Verdana;">and UA blood flow changes. style="font-family:Verdana;">Results: style="font-family:Verdana;">After administration>> style="font-family:""> >> style="font-family:""> style="font-family:Verdana;">of MgSO_{style="font-family:Verdana;">4} style="font-family:Verdana;">, the mean>> style="font-family:""> style="font-family:Verdana;"> style="font-family:Verdana;"> style="font-family:Verdana;">RI of UA, PI of UA showed a statistically significant decrease (P < 0.001) also the systolic-diastolic ratio (p = 0.001). Mean resistivity index (RI) cerebral showed a statistically significant increasing (P = 0.001), pulsatility index (PI)-cerebral and the systolic-diastolic ratio showed a statistically significant increasing (P < 0.001).>> style="font-family:""> style="font-family:Verdana;"> style="font-family:Verdana;"> style="font-family:Verdana;">The>> style="font-family:""> >> style="font-family:""> style="font-family:Verdana;">C/U (cerebroumblical) ratio increased after the treatment (P < 0.001). style="font-family:Verdana;">Conclusions: style="font-family:Verdana;">Infusion of MgSO_{style="font-family:Verdana;">4} style="font-family:Verdana;"> significantly decreases the fetal RI, PI, SDR umbilical and increases the fetal RI, PI, SDR MCA and increases cerebroumblical ratio indices obtained by Doppler>> style="font-family:""> style="font-family:Verdana;"> style="font-family:Verdana;"> style="font-family:Verdana;">examinations.

机译：目的：研究MgSO4效果 > > style =“font-family：”“> style =“font-family：verdana;”> style =“font-family：verdana;”> style =“font-family：verdana;”>在胎儿mca和血液流动上变化< /跨度> <跨度> <跨度>的 style = “font-family：” “> 的 style =” font-family： Verdana;“> 使用多普勒超声波 > > style =“font-family：”“”> > > style =“font-family：”“> style =”字体 - 家庭：Verdana;“>在严重的宠物和葛兰普查的情况下。 <跨度样式=“font-family：verdana;”>材料和方法： <跨度样式=“font-family：verdana;”>共40名患者凭借严重的宠物入住El-Shatby初学院，亚历山大（埃及）在管理Mgso _{style =“font-family：verdana;”> 4 < / sub> style =“font-family：verdana;”>使用多普勒研究测量胎儿mca > > style =“字体家族：“”> > style =“font-family：”“> style =”font-family：verdana;“>和血流变化。 style =“font-family：verdana;”>结果： style =“font-family：verdana;”>管理后 < /跨度> <跨度> <跨度>的 style = “font-family：”“> <跨度> <跨度> <跨度风格=“Font-Family：”“> <跨度样式=”font-family：verdana;“> mgso _{style =”font-family：verdana;“> 4 < / sub> style =“font-family：verdana;”>，平均 > > style =“font-family： “> style =”font-family：verdana;“> style =”font-family：verdana;“> style =”font-family： Verdana;“> UA的RI，UA的PI表现出统计学上显着的降低（P <0.001），也是收缩式 - 舒张效率（P = 0.001）。平均电阻率指数（RI）脑显示出统计学上显着增加（P = 0.001），脉动性指数（pi） - 乳房和收缩学 - 舒张比显示出统计学上显着的增加（p <0.001）。 > > style =“font-家庭：“”> style =“font-family：verdana;”> style =“font-family：verdana;”> style =“font-family：verdana;”> <跨度> <跨度>的 style = “font-family：”“> <跨度> <跨度> <跨度STYLE =“字体家庭：”“> <跨度样式=”FONT系列：VERDANA;“> C / U（CEREBROUMBLICE）比率治疗后增加（P <0.001）。 <跨度样式=“font-family：verdana;”>结论： style =“font-family：verdana;”>输注mgso _{style =“font-family：verdana;”> 4 style =“font-family：verdana;”>显着降低胎儿ri，pi，sdr脐带和增加胎儿RI，PI，SDR MCA和通过多普勒 > > style =“font-family：”“> style =“font-family：verdana;”> style =“font-family：verdana;”> style =“font-family：verdana;” >检查。}}}

Magnesium Sulfate Effect on Fetal Umbilical Artery and Middle Cerebral Artery Doppler Indicies in Women with Severe Preeclampsia and Eclampsia

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