zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2024-21-4-08zdor-2803Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEКровоток в церебральных сосудах и магистральных сосудах шеи у новорожденных от здоровых матерей: исследование показателейBlood flow in cerebral vessels and main vessels of the neck in newborns from healthy mothers: exploring the parametershttps://orcid.org/0000-0003-4679-4937АлександровичА. С.AleksandrovichA. S.

Александрович Александр Сулейманович, к.м.н., доцент, заведующий кафедрой лучевой диагностики

г. Гродно

Aliaksandr S. Aleksandrovich, Candidate of Medical Sciences, Associate Professor, Head of the Department of Radiation Diagnostics

Grodno

aleks_as@tut.byГродненский государственный медицинский университетGrodno State Medical University2024160120252146877Copyright © Александрович А.С., 20252025Александрович А.С.Aleksandrovich A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/2803Цель исследования

Цель исследования. Проанализировать кровоток в церебральных сосудах и магистральных сосудах шеи у новорожденных, матери которых не имели осложнений во время беременности, с использованием допплеровского ультразвука.

Материалы и методы

Материалы и методы. Обследовано 123 новорожденных. Параметры включали гендерное распределение, антропометрию и здоровье. Ультразвуковое обследование включало нейросонографию с допплерографией сосудов мозга и исследование магистральных сосудов шеи с использованием микроконвексного и линейного датчиков.

Результаты

Результаты. Нейросонография не выявила патологий мозга. Допплерометрия сосудов мозга: в передней мозговой артерии индекс резистентности — 0,62±0,07, пульсационный индекс — 1,08±0,17; в средней мозговой артерии индекс резистентности — 0,66±0,09, пульсационный индекс — 1,14±0,32. Ультразвуковое исследование магистральных сосудов шеи: в общей сонной артерии индекс резистентности — 0,64±0,05 (слева) и 0,66±0,04 (справа), пульсационный индекс — 1,34±0,16 (слева) и 1,37±0,13 (справа); во внутренней сонной артерии индекс резистентности — 0,54±0,04 (слева) и 0,56±0,05 (справа), пульсационный индекс — 1,19±0,11 (слева) и 1,21±0,12 (справа); в наружной сонной артерии индекс резистентности — 0,74±0,04 (слева) и 0,76±0,05 (справа), пульсационный индекс — 1,39±0,09 (слева) и 1,41±0,12 (справа). Значения указывают на хорошую эластичность сосудов и низкое сопротивление кровотоку; различия между левой и правой сторонами сосудов объясняются анатомией и незначимы.

Заключение

Заключение. Исследование подчеркивает важность своевременной диагностики нарушений и наблюдения за состоянием кровоснабжения центральной нервной системы (ЦНС) в неонатальном периоде. Данные могут служить эталоном для дальнейших исследований и разработки стандартов диагностики и лечения патологий, связанных с нарушением мозговой гемодинамики.

Objective

Objective. To analyse of blood flow in the cerebral and main vessels of the neck in newborns whose mothers had no complications during pregnancy using Doppler ultrasound.

Materials and methods

Materials and methods. 123 newborns were examined. The parameters included gender distribution, anthropometry, and health. Ultrasound examination included neurosonography with dopplerography of brain vessels and examination of the main vessels of the neck using microconvex and linear sensors.

Results

Results. Neurosonography did not reveal any brain pathologies. Dopplerometry of cerebral vessels: in the anterior cerebral artery, the resistance index is 0.62±0.07, the pulsation index is 1.08±0.17; in the middle cerebral artery, the resistance index is 0.66 ± 0.09, the pulsation index is 1.14 ± 0.32. Ultrasound examination of the main vessels of the neck: in the common carotid artery, the resistance index is 0.64 ± 0.05 (left) and 0.66 ± 0.04 (right), the pulsation index is 1.34 ± 0.16 (left) and 1.37 ± 0.13 (right); in the internal carotid artery, the resistance index is 0.54 ± 0.04 (left) and 0.56 ± 0.05 (right), the pulsation index is 1.19 ± 0.11 (left) and 1.21 ± 0.12 (right); in the external carotid artery, the resistance index is 0.74 ± 0.04 (left) and 0.76 ± 0.05 (right), the pulsation index is 1.39 ± 0.09 (left) and 1.41 ± 0.12 (right). The values indicate good vascular elasticity and low resistance to blood flow; the differences between the left and right sides of the vessels are explained by anatomy and are insignificant.

Conclusion

Conclusion. The study emphasizes the importance of timely diagnosis of disorders and monitoring of the state of blood supply to the central nervous system in the neonatal period. The data can serve as a reference for further research and development of standards for the diagnosis and treatment of pathologies associated with impaired cerebral hemodynamics.

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