中国医疗设备
中國醫療設備
중국의료설비
CHINA MEDICAL EQUIPMENT
2014年
5期
161-163
,共3页
妊娠期糖尿病%胎儿%心脏功能%超声心动图
妊娠期糖尿病%胎兒%心髒功能%超聲心動圖
임신기당뇨병%태인%심장공능%초성심동도
gestational diabetes%fetus%cardiac function%echocardiogram
目的：采用超声评价妊娠期糖尿病孕妇胎儿的心脏结构及功能的改变情况。方法选择2012年1~12月于本院分娩的60例确诊为妊娠糖尿病的孕妇，同期孕周匹配的正常妊娠孕妇60例为对照组，两组均在妊娠末期行胎儿超声心动图检查，测定胎儿左/右心室收缩末期内径（LVDs、RVDs）、舒张末期内径（LVDd、RVDd），左/右室壁厚度（IVWT、RVWT），室间隔收缩、舒张末期厚度（IVSs、IVSd）；并计算左室射血分数（LVEF），二尖瓣和三尖瓣E、A峰值流速比值（E/AMV、E/ATV），以及心室Tei指数，并进行组间比较。结果两组胎儿LVDs、RVDs、LVDd、RVDd差异无统计学意义（P>0.05），糖尿病组胎儿LVWT、RVWT、IVSs、IVSd均明显高于对照组，组间差异有统计学意义（P<0.05）。两组LVEF差异无统计学意义；糖尿病组左、右心输出量均明显高于对照组（P<0.05），E/ATV低于对照组（P<0.05）；糖尿病组左、右心室Tei指数明显高于对照组（P<0.05）。结论妊娠糖尿病孕妇胎儿在心脏结构和功能方面较正常胎儿有明显改变，超声心动图可有效监测胎儿心脏功能情况，为早期干预和妊娠处理提供依据。
目的：採用超聲評價妊娠期糖尿病孕婦胎兒的心髒結構及功能的改變情況。方法選擇2012年1~12月于本院分娩的60例確診為妊娠糖尿病的孕婦，同期孕週匹配的正常妊娠孕婦60例為對照組，兩組均在妊娠末期行胎兒超聲心動圖檢查，測定胎兒左/右心室收縮末期內徑（LVDs、RVDs）、舒張末期內徑（LVDd、RVDd），左/右室壁厚度（IVWT、RVWT），室間隔收縮、舒張末期厚度（IVSs、IVSd）；併計算左室射血分數（LVEF），二尖瓣和三尖瓣E、A峰值流速比值（E/AMV、E/ATV），以及心室Tei指數，併進行組間比較。結果兩組胎兒LVDs、RVDs、LVDd、RVDd差異無統計學意義（P>0.05），糖尿病組胎兒LVWT、RVWT、IVSs、IVSd均明顯高于對照組，組間差異有統計學意義（P<0.05）。兩組LVEF差異無統計學意義；糖尿病組左、右心輸齣量均明顯高于對照組（P<0.05），E/ATV低于對照組（P<0.05）；糖尿病組左、右心室Tei指數明顯高于對照組（P<0.05）。結論妊娠糖尿病孕婦胎兒在心髒結構和功能方麵較正常胎兒有明顯改變，超聲心動圖可有效鑑測胎兒心髒功能情況，為早期榦預和妊娠處理提供依據。
목적：채용초성평개임신기당뇨병잉부태인적심장결구급공능적개변정황。방법선택2012년1~12월우본원분면적60례학진위임신당뇨병적잉부，동기잉주필배적정상임신잉부60례위대조조，량조균재임신말기행태인초성심동도검사，측정태인좌/우심실수축말기내경（LVDs、RVDs）、서장말기내경（LVDd、RVDd），좌/우실벽후도（IVWT、RVWT），실간격수축、서장말기후도（IVSs、IVSd）；병계산좌실사혈분수（LVEF），이첨판화삼첨판E、A봉치류속비치（E/AMV、E/ATV），이급심실Tei지수，병진행조간비교。결과량조태인LVDs、RVDs、LVDd、RVDd차이무통계학의의（P>0.05），당뇨병조태인LVWT、RVWT、IVSs、IVSd균명현고우대조조，조간차이유통계학의의（P<0.05）。량조LVEF차이무통계학의의；당뇨병조좌、우심수출량균명현고우대조조（P<0.05），E/ATV저우대조조（P<0.05）；당뇨병조좌、우심실Tei지수명현고우대조조（P<0.05）。결론임신당뇨병잉부태인재심장결구화공능방면교정상태인유명현개변，초성심동도가유효감측태인심장공능정황，위조기간예화임신처리제공의거。
Objective To evaluate cardiac structural and functional changes of fetuses whose mothers have gestationed diabetes. Methods 60 cases of pregnant women (diagnosed as gestational diabetes mellitus) delivered in our hospital from January to December 2012 were selected as the experimental group, and 60 cases of normal pregnant women with gestational age in the same period were selected as the control group. Patients in both of the two groups were given fetal echocardiography in late pregnancy to measure left/right ventricular systolic diameters (LVDs, RVDs), left/right ventricular diastolic diameter(LVDd, RVDd), left/right ventricular wall thickness (IVWT, RVWT), and inter-ventricular septum shrink/diastolic thickness (IVSs, IVSd);meanwhile left ventricular ejection fraction (LVEF), mitral and tricuspid E, A peak velocity ratio (E/AMV, E/ATV), and ventricular Tei indexes were calculated. And all measures were compared between the two groups. Results There were no signiifcant differences between the two groups on LVDs, RVDs, LVDd, RVDd (P>0.05) while the values of LVWT, RVWT, IVSs, IVSd of the diabetes group were higher than those of the control group with signiifcant differences (P<0.05). There was no signiifcant difference between the two grou1ps on LVEF values while the left and right cardiac output values of the diabetes group were signiifcantly higher than those of the control group (P<0.05), E/ATV values of the diabetes group were lower than those of the control group (P<0.05);the left and right ventricular Tei index values of the diabetes group were signiifcantly higher than those of the control group (P<0.05). Conclusion The cardiac structures and functions of fetus of pregnant women with gestational diabetes are significantly changed compared with normal fetuses. Echocardiography can effectively monitor the fetal cardiac functions, and provide the basis for early intervention and treatment of pregnancy.
