| 石 伟,刘海霞,罗 一,王永森,刘沙娟.超声心动图评价妊娠期糖尿病孕妇胎儿心脏结构及功能中的临床研究[J].,2017,17(12):2338-2341 |
| 超声心动图评价妊娠期糖尿病孕妇胎儿心脏结构及功能中的临床研究 |
| Clinical Study of Echocardiography in the Evaluation of Fetal Heart Structure and Function in Pregnant Women with Gestational Diabetes Mellitus |
| 投稿时间：2016-12-26 修订日期：2017-01-12 |
| DOI：10.13241/j.cnki.pmb.2017.12.035 |
| 中文关键词: 超声心动图 妊娠期糖尿病 心脏结构 心脏功能 |
| 英文关键词: Echocardiography Gestational diabetes mellitus Heart structure Heart function |
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| 中文摘要: |
| 摘要 目的：探讨超声心动图评价妊娠期糖尿病（GDM）孕妇胎儿心脏结构及功能的价值。方法：收集2014年1月至2016年12月我院住院分娩的156例GDM孕妇为GDM组，并于同期随机选取50例孕周匹配的健康妊娠孕妇为对照组，在妊娠末期采用超声心动图对两组胎儿进行检查，检查内容包括胎儿的心脏瓣环内径、心脏结构以及心脏功能。结果：GDM组孕妇胎儿的MVA、TVA、AVA、PVA均比对照组大，差异有统计学意义（P<0.05）。GDM组孕妇胎儿的IVSs、IVSd、LVWTd、LVWTs、RVWTd、RVWTs均比对照组大，差异有统计学意义（P<0.05）。GDM组孕妇胎儿的LVEF、LVFS、RVFS均比对照组大，E/AMV、E/ATV均比对照组小，差异有统计学意义（P<0.05）。GDM组孕妇胎儿左室Tei指数（LV MPI）、右室Tei指数（RV MPI）均大于对照组（P<0.05）。结论：GDM孕妇胎儿心脏结构和功能存在不同程度的改变，超声心动图能有效监测胎儿的心脏结构和功能，从而为临床早期干预和改善预后提供依据。 |
| 英文摘要: |
| ABSTRACT Objective: To study the value of echocardiography in the evaluation of fetal heart structure and function in pregnant women with gestational diabetes mellitus (GDM). Methods: 156 pregnant women with GDM in our hospital from January 2014 to December 2016 were selected as GDM group. In the same period, 50 healthy pregnant women with matched gestational age were randomly selected as control group. At the end of gestation, the fetuses of two groups were examined by the echocardiography, including fetal heart valve ring diameter, heart structure and heart function. Results: The MVA, TVA, AVA, PVA in fetals of the GDM group were higher than those of the control group,and the differences were statistically significant(P<0.05). The IVSs, IVSd, LVWTd, LVWTs, RVWTd, RVWTs in fetals of the GDM group were higher than those of the control group, the differences were statistically significant(P<0.05). The LVEF, LVFS, RVFS in fetals of the GDM group were higher than those of the control group, and the E/AMV, E/ATV were less than those of the control group, the differences were statistically significant(P<0.05). The left ventricular Tei index (LV MPI) and right ventricular Tei index (RV MPI) of fetals of the GDM group were larger than those of the control group(P<0.05). Conclusion: The fetal structure and function of pregnancy women with GDM have varying degrees of change,and echocardiography can effectively monitor the fetal heart structure and function, so that to provide early clinical intervention and improve prognosis. |
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