中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
12期
51-52
,共2页
妊娠期甲亢%胎儿超声心动图%胎儿心功能%组织多普勒%Tei 指数
妊娠期甲亢%胎兒超聲心動圖%胎兒心功能%組織多普勒%Tei 指數
임신기갑항%태인초성심동도%태인심공능%조직다보륵%Tei 지수
Pregnancy-induced hypertension%Fetal echocardiography%Fetal heart function%Tissue Doppler%Tei index
目的：采用组织多普勒 Tei 指数评价妊娠期合并甲状腺功能亢进孕妇胎儿心功能的变化。方法选取确诊为妊娠期甲亢孕妇（A 组）及妊娠合并亚临床型甲亢孕妇（B 组）各30例，采用组织多普勒技术分别测定各组孕妇胎儿的左、右心室 Tei 指数，测定胎儿心室腔的大小，计算胎儿左室心肌重量（LVM），另选取30例相同孕周的孕妇作为对照（C 组）。结果妊娠期亚临床甲亢组胎儿左、右室 Tei 指数与正常组比较均降低（P <0.05），左室心肌重量与正常组比较差异无统计学意义（P >0.05），妊娠期甲亢组胎儿右室 Tei 指数及左室心肌重量较正常对照组及妊娠期亚临床甲亢组比较均明显升高（P <0.05），左室 Tei 指数较正常对照组及妊娠期亚临床甲亢组降低（P <0.05）。结论妊娠期合并亚临床甲亢孕妇胎儿左、右室功能均反应性增强，妊娠期甲亢孕妇左室功能仍反应性增强，左室心肌重量增加，但右室功能受损；组织多普勒 Tei 指数能简便、快捷地评价妊娠期甲亢孕妇胎儿左、右室心功能的变化，为临床干预提供指导。
目的：採用組織多普勒 Tei 指數評價妊娠期閤併甲狀腺功能亢進孕婦胎兒心功能的變化。方法選取確診為妊娠期甲亢孕婦（A 組）及妊娠閤併亞臨床型甲亢孕婦（B 組）各30例，採用組織多普勒技術分彆測定各組孕婦胎兒的左、右心室 Tei 指數，測定胎兒心室腔的大小，計算胎兒左室心肌重量（LVM），另選取30例相同孕週的孕婦作為對照（C 組）。結果妊娠期亞臨床甲亢組胎兒左、右室 Tei 指數與正常組比較均降低（P <0.05），左室心肌重量與正常組比較差異無統計學意義（P >0.05），妊娠期甲亢組胎兒右室 Tei 指數及左室心肌重量較正常對照組及妊娠期亞臨床甲亢組比較均明顯升高（P <0.05），左室 Tei 指數較正常對照組及妊娠期亞臨床甲亢組降低（P <0.05）。結論妊娠期閤併亞臨床甲亢孕婦胎兒左、右室功能均反應性增彊，妊娠期甲亢孕婦左室功能仍反應性增彊，左室心肌重量增加，但右室功能受損；組織多普勒 Tei 指數能簡便、快捷地評價妊娠期甲亢孕婦胎兒左、右室心功能的變化，為臨床榦預提供指導。
목적：채용조직다보륵 Tei 지수평개임신기합병갑상선공능항진잉부태인심공능적변화。방법선취학진위임신기갑항잉부（A 조）급임신합병아림상형갑항잉부（B 조）각30례，채용조직다보륵기술분별측정각조잉부태인적좌、우심실 Tei 지수，측정태인심실강적대소，계산태인좌실심기중량（LVM），령선취30례상동잉주적잉부작위대조（C 조）。결과임신기아림상갑항조태인좌、우실 Tei 지수여정상조비교균강저（P <0.05），좌실심기중량여정상조비교차이무통계학의의（P >0.05），임신기갑항조태인우실 Tei 지수급좌실심기중량교정상대조조급임신기아림상갑항조비교균명현승고（P <0.05），좌실 Tei 지수교정상대조조급임신기아림상갑항조강저（P <0.05）。결론임신기합병아림상갑항잉부태인좌、우실공능균반응성증강，임신기갑항잉부좌실공능잉반응성증강，좌실심기중량증가，단우실공능수손；조직다보륵 Tei 지수능간편、쾌첩지평개임신기갑항잉부태인좌、우실심공능적변화，위림상간예제공지도。
Objective To evaluate the function of fetal heart in hyperthyroidism mother by tissue Doppler Tei index. Methods Thirty women diagnosed as hyperthyroidism in pregnancy and another thir-ty women diagnosed as subclinical hyperthyroidism were enrolled and divided into group A and group B. Thirty normal fetal during the same gestational weeks were chosen as controls(group C). All of them un-derwent fetal echocardiography. The left and right ventricular function was detected by tissue Doppler Tei index. Meanwhile,the ventricular chambers were measured and then the left ventricular mass(LVM)was calculated. Results Compared with group C,the left and right Tei index in group B decreased signifi-cantly(P < 0. 05),but there were no significant differences in left ventricular mass(P > 0. 05). In group A,the right ventricular index and left ventricular mass obviously increased compared with group B and group C(P < 0. 05),but the left ventricular index significantly decreased(P < 0. 05). Conclusions The fetal left and right ventricular function in subclinical hyperthyroidism women increase reactively,and the fetal left ventricular function in hyperthyroidism mother also increases,but the right ventricular func-tion in hyperthyroidism women decreases significantly,while the left ventricular mass apparently increa-ses. The tissue Doppler Tei index can estimate the left and right heart function of fetal in hyperthyroidism mother simply and accurately,and guide the clinical intervention.
