docruДоктор.РуTitle1727-23782713-2994ООО "ГК "РУСМЕДИКАЛ"10.31550/1727-2378-2022-21-5-13-17docru-123Research ArticleАКУШЕРСТВО И ПЕРИНАТОЛОГИЯOBSTETRICS AND PERINATOLOGYПрогнозирование перинатального исхода при преэклампсии на основании доплерометрических показателейPrediction of Perinatal Outcome in Preeclampsia Based on Doppler ParametersЛазареваГ. А.LazarevaG. A.

Лазарева Галина Анатольевна — д. м. н., профессор, заведующая кафедрой акушерства и гинекологии Института непрерывного образования

305041, г. Курск, ул. Карла Маркса, д. 3

3 Karl Marx Str., Kursk, 305041

galinal2007@yandex.ruhttps://orcid.org/0000-0002-1225-8039ЧебышеваЕ. Л.ChebyshevaE. L.

Чебышева Евгения Леонидовна — аспирант кафедры акушерства и гинекологии Института непрерывного образования

305041, г. Курск, ул. Карла Маркса, д. 3

3 Karl Marx Str., Kursk, 305041

tcheb1986@gmail.comФГБОУ ВО «Курский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Educational Institution of Higher Education “Kursk State Medical University” of the Ministry of Health of the Russian FederationRussian Federation202216022025215ГИНЕКОЛОГИЯ1317Copyright © Лазарева Г.А., Чебышева Е.Л., 20252025Лазарева Г.А., Чебышева Е.Л.Lazareva G.A., Chebysheva E.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://docru.elpub.ru/jour/article/view/123

Цель обзора: представить данные современной литературы по прогнозированию перинатальных исходов у беременных с преэклампсией и по потенциальным стратегиям улучшения прогнозирования исходов беременности, осложненной преэклампсией, на основании доплерометрических показателей.Основные положения. Представлены результаты исследований, посвященных выбору наиболее оптимальных доплерометрических показателей, которые могут быть использованы для прогнозирования перинатального исхода. В настоящем обзоре представлен анализ точности доплерометрических показателей (пульсационного индекса в средней мозговой и пупочной артериях, индекса резистентности, церебро-плацентарного соотношения) в прогнозировании неблагоприятного перинатального исхода при беременности, осложненной преэклампсией. Проведен обзор современной литературы по прогнозированию перинатальных исходов и ведению беременных с преэклампсией и по потенциальным стратегиям улучшения прогнозирования исходов беременности, осложненной преэклампсией.Заключение. В настоящее время доплерометрия в акушерской практике является высокоточным прогностическим методом определения перинатального исхода при осложненном течении беременности. Данный метод позволяет прогнозировать фактический риск для плода, контролировать и оценивать его степень, наряду с другими методами дородового наблюдения, а также дает возможность выбрать время и метод родоразрешения, если риск внутриутробной гибели плода высок.

Objective of the Review: To present current literature data on the prediction of perinatal outcomes in pregnant women with preeclampsia and on potential strategies for improving the prediction of outcomes of pregnancy complicated by preeclampsia based on Doppler parameters.Key points. The results of studies devoted to the choice of the most optimal Doppler indicators that can be used to predict perinatal outcome are presented. This review presents an analysis of the accuracy of Doppler parameters (pulsation index in the middle cerebral and umbilical arteries, resistance index, cerebroplacental ratio) in predicting adverse perinatal outcomes in pregnancy complicated by preeclampsia. A review of the current literature on the prediction of perinatal outcomes and management of pregnant women with preeclampsia and potential strategies improving the prediction of outcomes of pregnancy complicated by preeclampsia.Conclusion. Currently, dopplerometry in obstetric practice is a highly accurate prognostic method for determining the perinatal outcome in complicated pregnancy. This method allows to predict the actual risk to the fetus, monitor and evaluate its degree along with other methods of antenatal care, and also allows you to choose the time and method of delivery if the risk of intrauterine death of the fetus is high.

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The authors declare that there are no conflicts of interest present.