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超声心动图对妊娠期糖尿病胎儿心脏功能的评价
引用本文:卜秋强,程楚云,李育婵,林淑莲.超声心动图对妊娠期糖尿病胎儿心脏功能的评价[J].中国中西医结合影像学杂志,2014(5):480-482.
作者姓名:卜秋强  程楚云  李育婵  林淑莲
作者单位:广东省东莞市第八人民医院东莞市石龙博爱医院,广东东莞523320
基金项目:广东省东莞市科学技术局基金(2010105150105).
摘    要:目的:探讨超声心动图在评价妊娠期糖尿病(gestational diabetes mellitus,GDM)胎儿心脏构型和功能变化中的价值。方法:对31例GDM胎儿(观察组)和35例健康孕妇胎儿(对照组)进行心脏结构和功能相关指标测定,并行组间比较。结果:观察组胎儿左心室厚度、右心室舒张末期内径、右室收缩末期内径、右心室壁的厚度、室间隔收缩末期厚度、左室射血分数、左室及右室短轴缩短率测定值均大于对照组,二尖瓣、三尖瓣E峰和A峰的速度比值均小于对照组,差异有统计学意义(P0.05);2组胎儿左室舒张、收缩末期内径及室间隔舒张末期厚度测定值比较,差异均无统计学意义(P0.05)。观察组胎儿左右心室Tei指数均明显大于对照组(P0.05)。结论:GDM胎儿心脏构型和功能多发生变化,多普勒超声是评价这种变化的有效方法。

关 键 词:糖尿病  妊娠  胎儿心脏  超声心动描记术

Echocardiography evaluation of fetal cardiac function in pregnant women with gestational diabetes mellitus
BU Qiu-qiang,CHENG Chu-yun,LI Yu-chan,LIN Shu-lian.Echocardiography evaluation of fetal cardiac function in pregnant women with gestational diabetes mellitus[J].Chinese Imaging Journal of Integrated Traditional and Western Medicine,2014(5):480-482.
Authors:BU Qiu-qiang  CHENG Chu-yun  LI Yu-chan  LIN Shu-lian
Institution:. (The Eighth People' s Hospital of Dongguan City, Shilong Boai Hospital, Dongguan, 523320, China.)
Abstract:Objective:To study the value of echocardiography in the evaluation of changes of cardiac structure and function in gestational diabetes mellitus (GDM) fetuses. Methods:Indicators of cardiac structure and function of 31 gestational diabetes fetuses(observation group) and 35 fetuses of healthy pregnant women (control group) were measured, and compared between groups. Results:The measured value of left ventricular wall thickness,right ventricular diastolic diameter,right ventricular end systolic, right ventrieular wall thickness,inter-ventricular septum end-stolic thickness,left ventricular ejection fraction,left and right ventricular fractional shortening in the observation group were greater than those of the control group, the velocity ratio of peak E and peak A of mitral valve,tricuspid valve (E/AMV and E/ATV) was less than the control group (P〈0.05). There were no significant differences of fetal LVDd,LVDs and inter-ventricular septum end-diastolic thickness (IVSd) between two groups (P〈0.05). Tel indexes of fetal left and right ventricular of the observation group were higher than those of the control group (P〈0.05). Conclusion:Diabetic pregnancy fetuses have lower cardiac function,echocardiography is an effective method for assessing the change.
Keywords:Diabetes  gestational  Fetal heart  Echocardiography
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