Publication year: 2013
Theses and dissertations in Español presented to the Universidad Nacional Mayor de San Marcos. Facultad de Medicina to obtain the academic title of Licenciado. Leader: Huamán Correa, Celso Manuel
Objetivo:
Determinar la valoración de la flujometría Doppler de la arteria uterina en pacientes gestantes 20 a 42 semanas, con riesgo a preeclampsia en el Hospital San Juan Lurigancho en el periodo de Junio-Agosto 2013. Material y métodos:
Se realizó un estudio observacional, descriptivo, prospectivo de corte transversal y no probabilístico. Se incluyeron 100 pacientes mujeres gestantes de 20 a 42 semanas que se realizaron un examen ecográfico en el servicio de ecografía del Hospital San Juan de Lurigancho. Resultados:
De los 100 casos, se encontró que el 13 por ciento tienen edad menor de 18 años; el 76 por ciento tienen edad de 18 a 35 años y el 11 por ciento tienen edad mayor de 35 años; que el 26 por ciento del total de pacientes presentaron antecedentes personales en preeclampsia; el 28 por ciento presentaron antecedentes familiares madre-hija; el 30 por ciento presentaron antecedentes familiares con hipertensión. Asimismo se aprecia que el 7 por ciento presentan delgadez; el 40 por ciento presentan IMC normal; el 33 por ciento presentan sobrepeso y el 21 por ciento son obesos; que el 45 por ciento son nulíparas y el 55 por ciento son multíparas; que el 3 por ciento tienen de 20 a 23 semanas de gestación; el 21 por ciento presentan de 32 a 35 semanas de gestación; el 73 por ciento presentan de 36 a 42 semanas de gestación; que el 71 por ciento presentan IP anormal y el 89 por ciento presentan IP normal; que el 8 por ciento presentan IR anormal y el 92 por ciento presentan IR normal; que el 2 por ciento tienen presencia de NOTCH y el 98 por ciento no presentan NOTCH; que del total de pacientes con presencia de NOTCH el 50 por ciento presentan IP anormal y el 50 por ciento presentan IP normal; de la tabla se aprecia que del total de pacientes con presencia de NOTCH el 50 por ciento presentan IR anormal y el 50 por ciento presentan IR normal. Conclusiones:
La valoración de la flujometría Doppler de la arteria uterina en pacientes gestantes de 20 a 42...
Objective:
Determine flowmetry assessment of uterine artery Doppler in patients 20 to 42 weeks pregnant, with the risk of preeclampsia in Hospital San Juan Lurigancho in the period June to August 2013. Material and Methods:
We performed an observational, descriptive, cross- sectional and prospective non-probability. 100 patients were included pregnant women of 20 to 42 weeks were performed an ultrasound examination on ultrasound service at the Hospital San Juan de Lurigancho. Results:
Of the 100 cases, we found that 13 per cent are younger than 18 years; 31.76 per cent are aged 18 to 35 years and 11 per cent are older than 35 years, that 26 per cent of patients had personal history in preeclampsia, 28 per cent had mother-daughter family history, 30 per cent had a family history of hypertension. Data shows that 7 per cent have thin, 40 per cent have normal BMI, 33 per cent were overweight and 21 per cent are obese, that 45 per cent were nulliparous and 55 per cent were multiparous, that 3 per cent have 20 to 23 weeks, 21 per cent have from 32 to 35 weeks gestation, 73 per cent have between 36 and 42 weeks of gestation that 71 per cent have abnormal IP and IP 89 per cent have normal that 8 per cent have IR abnormal and 92 per cent have normal IR, that 2 per cent had presence of NOTCH and 98 per cent have no NOTCH, that of all patients with the presence of 50 per cent NOTCH IP presented abnormal and 50 per cent have normal IP; from table shows that the total number of patients with presence of NOTCH 50 per cent have abnormal IR and 50 per cent have normal IR. Conclusion:
The evaluation of Doppler flowmetry of the uterine artery in pregnant patients 20 to 42 weeks, with the risk of preeclampsia treated in the ultrasound. Hospital San Juan de Lurigancho had higher prevalence by testing pulsatility index to be a reliable diagnostic test for the detection, which needs to be complemented with the presence of notch to have a higher probability of preeclampsia risk.