中国医学影像学杂志
中國醫學影像學雜誌
중국의학영상학잡지
CHINESE JOURNAL OF MEDICAL IMAGING
2013年
10期
771-774,779
,共5页
何萍%张玉奇%陆彧%徐惠英%洪向丽
何萍%張玉奇%陸彧%徐惠英%洪嚮麗
하평%장옥기%륙욱%서혜영%홍향려
糖尿病,妊娠%超声检查,产前%胎儿%心室功能,左%心室功能,右%室间隔
糖尿病,妊娠%超聲檢查,產前%胎兒%心室功能,左%心室功能,右%室間隔
당뇨병,임신%초성검사,산전%태인%심실공능,좌%심실공능,우%실간격
Diabetes,gestational%Ultrasonography,prenatal%Fetus%Ventricular function,left%Ventricular function,right%Ventricular septum
目的:探讨妊娠期糖尿病(GDM)胎儿心脏功能的改变与室间隔厚度的关系。资料与方法以39例GDM胎儿为研究对象,按照有无室间隔肥厚分为室间隔肥厚组(MH组)和无室间隔肥厚组(NMH组)。应用超声心动图测量胎儿心脏室间隔舒张末期厚度(IVSd),左心室射血分数(LVEF),左心室短轴缩短率(LVFS),右心室短轴缩短率(RVFS),二尖瓣E、A峰值速度比值(E/AMV),三尖瓣E、A峰值速度比值(E/ATV),主动脉瓣血流峰值速度(VPAO),肺动脉瓣血流峰值速度(VPPA),左心室心肌工作指数(LV MPI)右心室心肌工作指数(RV MPI),并与对照组进行比较。结果 NMH组VPAO、VPPA、LVEF、LVFS明显高于对照组,差异有统计学意义(P<0.05)。MH组VPAO、VPPA、LVEF、LVFS、RVFS均明显高于对照组,E/AMV、E/ATV明显低于对照组,差异有统计学意义(P<0.05)。MH组LVEF、LVFS、RVFS明显高于NMH组,E/AMV、E/ATV明显低于NMH组,差异有统计学意义(P<0.05)。MH组、NMH组LV MPI、RV MPI均高于对照组,差异有统计学意义(P<0.05)。MH组LV MPI、RV MPI均高于NMH组,差异有统计学意义(P<0.05)。LVEF、LVFS、RVFS、VPAO、VPPA与IVSd呈正相关(r=0.48,0.51,0.45,0.30,0.30, P<0.05)。结论 GDM胎儿心脏功能改变可能与心脏室间隔肥厚有关。
目的:探討妊娠期糖尿病(GDM)胎兒心髒功能的改變與室間隔厚度的關繫。資料與方法以39例GDM胎兒為研究對象,按照有無室間隔肥厚分為室間隔肥厚組(MH組)和無室間隔肥厚組(NMH組)。應用超聲心動圖測量胎兒心髒室間隔舒張末期厚度(IVSd),左心室射血分數(LVEF),左心室短軸縮短率(LVFS),右心室短軸縮短率(RVFS),二尖瓣E、A峰值速度比值(E/AMV),三尖瓣E、A峰值速度比值(E/ATV),主動脈瓣血流峰值速度(VPAO),肺動脈瓣血流峰值速度(VPPA),左心室心肌工作指數(LV MPI)右心室心肌工作指數(RV MPI),併與對照組進行比較。結果 NMH組VPAO、VPPA、LVEF、LVFS明顯高于對照組,差異有統計學意義(P<0.05)。MH組VPAO、VPPA、LVEF、LVFS、RVFS均明顯高于對照組,E/AMV、E/ATV明顯低于對照組,差異有統計學意義(P<0.05)。MH組LVEF、LVFS、RVFS明顯高于NMH組,E/AMV、E/ATV明顯低于NMH組,差異有統計學意義(P<0.05)。MH組、NMH組LV MPI、RV MPI均高于對照組,差異有統計學意義(P<0.05)。MH組LV MPI、RV MPI均高于NMH組,差異有統計學意義(P<0.05)。LVEF、LVFS、RVFS、VPAO、VPPA與IVSd呈正相關(r=0.48,0.51,0.45,0.30,0.30, P<0.05)。結論 GDM胎兒心髒功能改變可能與心髒室間隔肥厚有關。
목적:탐토임신기당뇨병(GDM)태인심장공능적개변여실간격후도적관계。자료여방법이39례GDM태인위연구대상,안조유무실간격비후분위실간격비후조(MH조)화무실간격비후조(NMH조)。응용초성심동도측량태인심장실간격서장말기후도(IVSd),좌심실사혈분수(LVEF),좌심실단축축단솔(LVFS),우심실단축축단솔(RVFS),이첨판E、A봉치속도비치(E/AMV),삼첨판E、A봉치속도비치(E/ATV),주동맥판혈류봉치속도(VPAO),폐동맥판혈류봉치속도(VPPA),좌심실심기공작지수(LV MPI)우심실심기공작지수(RV MPI),병여대조조진행비교。결과 NMH조VPAO、VPPA、LVEF、LVFS명현고우대조조,차이유통계학의의(P<0.05)。MH조VPAO、VPPA、LVEF、LVFS、RVFS균명현고우대조조,E/AMV、E/ATV명현저우대조조,차이유통계학의의(P<0.05)。MH조LVEF、LVFS、RVFS명현고우NMH조,E/AMV、E/ATV명현저우NMH조,차이유통계학의의(P<0.05)。MH조、NMH조LV MPI、RV MPI균고우대조조,차이유통계학의의(P<0.05)。MH조LV MPI、RV MPI균고우NMH조,차이유통계학의의(P<0.05)。LVEF、LVFS、RVFS、VPAO、VPPA여IVSd정정상관(r=0.48,0.51,0.45,0.30,0.30, P<0.05)。결론 GDM태인심장공능개변가능여심장실간격비후유관。
Purpose To explore the correlation between fetal cardiac function and interventricular septal thickness in fetuses of gestational diabetes mellitus (GDM) mothers. Materials and Methods Thirty-nine GDM mothers were involved in the study and divided into group MH (fetuses of GDM mothers with interventricular septal hypertrophy) and group NMH (fetuses of GDM mothers with normal interventricular septal thickness). Ultrasonic cardiogram was performed for both groups to assess such variables as interventricular septum thickness at end diastole (IVSd), left ventricular ejection fraction (LVEF), left ventricular fraction shortening (LVFS), right ventricular fraction shortening (RVFS), the ratio of E and A of mitral flow (E/AMV), the ratio of E and A of tricuspid flow (E/ATV), peak velocity of aortic valve (VPAO), peak velocity of pulmonary valve (VPPA) and myocardial performance index (MPI). The results were further compared with those of control group. Results The VPAO, VPPA, LVEF and LVFS in group NMH were significantly higher than those in control group (P<0.05). The VPAO, VPPA, LVEF, LVFS and RVFS in group MH were significantly higher than those in control group whilst the E/AMV and E/ATV significantly lower than those in control group (P<0.05). The LVEF, LVFS and RVFS in group MH were significantly higher than those in group NMH whilst the E/AMV and E/ATV significantly lower (P<0.05). MPI in group MH was significantly higher than that in group NMH (P<0.05), whilst both were significantly higher than that in control group (P<0.05). The LVEF, LVFS, RVFS, VPAO and VPPA were positively correlated with IVSd (r=0.48, 0.51, 0.45, 0.30, 0.30;P<0.05). Conclusion Cardiac function in fetuses of GDM mothers may be associated with interventricular septal thickness.