眼动脉多普勒预测准确性对于子宫前:一个系统的审查
Joseph Arkorful1,2, Joyce Linda Browne3, Kwame Adu-Bonsaffoh4
1Department of Imaging Technology & Sonography, University of Cape Coast, Cape Coast, Ghana joseph.arkorful@ucc.edu.gh.
BMJ open
|June 27, 2025
概括
眼动脉多普勒 (OAD) 显示出预测子宫前的前景,特别是在资源较低的环境中. 将OAD标志物添加到母体因素和平均动脉压中,改善了早产子前预测.
科学领域:
- 产科和妇科 产科和妇科
- 诊断成像 诊断成像 诊断成像
- 围产儿医学 围产儿医学
背景情况:
- 在全球范围内,孕前症对母亲和胎儿健康构成重大风险.
- 准确预测子宫前对于及时干预和改善结果至关重要.
- 现有的预测方法有局限性,特别是在资源有限的环境中.
研究的目的:
- 系统地审查眼动脉多普勒 (OAD) 预测性能的预兆性.
- 评估OAD的独立和增量预测能力.
- 评估OAD在各种环境中的有用性,包括低收入和中等收入国家 (LMICs).
主要方法:
- 对观察性研究和随机对照试验的系统审查.
- 在主要数据库 (PubMed,Cochrane CENTRAL,EMBASE,Scopus) 进行文献搜索.
- 使用标准化工具 (PRISMA,ROBAT) 提取数据并进行质量评估.
主要成果:
- 包括11项涉及12,150个怀孕的观察性研究.
- 眼动脉多普勒参数,如峰值心缩速度 (PSV) 比率和PSV2,在三个月内表现出良好的到非常好的预测能力.
- 在怀孕的第二个三个月,当与母因子和MAP相结合时,OAD改善了早产子前预测.
- 在第三季度,OAD在预测子宫前方面表现优于血清生物标志物.
结论:
- 眼动脉多普勒标记 (PSV比率,PSV2) 对于预测子前期有潜在的价值.
- 由于可访问性和成本效益,OAD在资源较低的环境中对查特别有希望.
- 在在产前护理中常规实施之前,建议进行更大规模的验证研究.
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