| 薛林燕,赵 旭,马淑梅,赵 俊,李 琴.组织多普勒Tei指数对妊娠期糖尿病孕妇胎儿心功能的评估价值及母婴预后与血糖控制水平的关系研究[J].,2019,19(18):3573-3576 |
| 组织多普勒Tei指数对妊娠期糖尿病孕妇胎儿心功能的评估价值及母婴预后与血糖控制水平的关系研究 |
| The Value of Tissue Doppler Tei Index in Evaluating Fetal Heart Function in Pregnant Women with Gestational Diabetes Mellitus and the Relationship between Maternal and Child Prognosis and Blood Glucose Control |
| 投稿时间：2019-03-06 修订日期：2019-03-28 |
| DOI：10.13241/j.cnki.pmb.2019.18.038 |
| 中文关键词: 妊娠期糖尿病 多普勒超声 Tei指数 心功能 妊娠结局 血糖 |
| 英文关键词: Gestational diabetes mellitus Tissue Doppler Tei index Heart function Pregnancy outcome Blood glucose |
| 基金项目:青海卫生计生委科研基金项目（2016-wjzdx-59） |
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| 中文摘要: |
| 摘要 目的：探讨组织多普勒Tei指数对妊娠期糖尿病（GDM）孕妇胎儿心功能的评估价值，并分析母婴预后与血糖控制水平的关系。方法：选取2017年1月到2018年6月期间在我院行产前检查的GDM孕妇80例，根据血糖控制情况将其分为良好组（48例）和不良组（32例）。另选取同期在我院行产前检查的并在我院生产的健康孕妇50例作为对照组。比较三组研究对象的等容收缩时间（ICT）、等容舒张时间（IRT）、射血时间（ET）、Tei指数、妊娠结局以及新生儿并发症。结果：不良组的ET小于良好组和对照组，Tei指数大于良好组和对照组，差异均有统计学意义（P<0.05），不良组的巨大儿、早产、羊水过多、胎儿窘迫的发生率高于良好组和对照组，差异均有统计学意义（P<0.05），不良组的新生儿低血糖、高胆红素血症的发生率高于良好组和对照组，差异均有统计学意义（P<0.05）。结论：组织多普勒Tei指数对GDM孕妇胎儿心功能具有较高的评估价值，可敏感地检测出胎儿心功能异常，血糖控制不良会明显增加不良妊娠结局和新生儿并发症的发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the value of tissue Doppler Tei index in evaluating fetal heart function in pregnant women with gestational diabetes mellitus (GDM) and the relationship between maternal and child prognosis and blood glucose control. Methods: 80 GDM pregnant women who underwent prenatal examination in our hospital from January 2017 to June 2018 were enrolled. According to the glycemic control, they were divided into good group (48 cases) and bad group (32 cases). In addition, 50 healthy pregnant women who were prenatally examined in our hospital and produced in our hospital were selected as the control group. The isometric contraction time (ICT), isovolumic relaxation time (IRT), ejection time (ET), Tei index, pregnancy outcome, and neonatal complications were compared in the three groups. Results: The ET of the bad group was less than that of the good group and the control group, the Tei index was higher than that of the good group and the control group, the difference was statistically significant (P<0.05). The incidence of macrosomia, premature delivery, polyhydramnios and fetal distress in the bad group were high than those in the good group and the control group, the difference was statistically significant (P<0.05). The incidence of neonatal hypoglycemia and hyperbilirubinemia in the bad group were higher than those in the good group and the control group, and the difference was statistically significant (P<0.05). Conclusion: Tissue Doppler Tei index has a high evaluation value for fetal heart function in GDM pregnant women. It can detect fetal cardiac dysfunction sensitively. Poor blood glucose control can significantly increase the incidence of adverse pregnancy outcomes and neonatal complications. |
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