欢迎来到天天文库
浏览记录
ID:49330800
大小:183.58 KB
页数:4页
时间:2020-02-29
《超声心动图Tei指数评价妊娠期糖尿病孕妇胎儿心脏功能的价值.pdf》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、山东医药2017年第57卷第1期超声心动图Tei指数评价妊娠期糖尿病孕妇胎儿心脏功能的价值阚全娥,鲁平,鲁豫,于璐,李全忠(河南省人民医院,郑州450003)摘要:目的探讨妊娠期糖尿病(GDM)孕妇胎儿心脏功能的变化及超声心动图Tei指数对胎儿心脏功能的评价作用。方法选取GDM孕妇108例,根据血糖控制情况分为血糖控制理想56例(GDM1组)和血糖控制不良52例(GDM2组);选取年龄、孕周及BMI相匹配的正常妊娠孕妇50例作为对照组。测量三组空腹血糖(FPG)、餐后2h血糖(2hPG)及糖化血红蛋白(GHbA1c)。应用多普勒超声心动图测定三组胎儿心脏结构、功能
2、指标及左、右心室的Tei指数。结果GDM2组FPG、2hPG及GHbA1c均高于GDM1组和对照组(P均<0.05)。GDM2组胎儿左室壁厚度、右室壁厚度、右室舒张末期内径(RVDd)、左室短轴缩短率(LVFS)、右室短轴缩短率及左室射血分数(LVEF)均高于对照组(P均<0.05),GDM2组的RVDd、右室收缩末期内径、LVFS及LVEF均高于GDM1组(P均<0.05),GDM1组LVFS高于对照组(P<0.05)。GDM1及GDM2组胎儿左、右心室Tei指数均高于对照组(P均<0.05),GDM2组胎儿左、右心室Tei指数高于GDM1组和对照组(P均<0.
3、05)。结论Tei指数与GDM孕妇胎儿心脏功能变化相关,可作为临床综合评估GDM胎儿心肌受累的一项简单可靠指标。关键词:妊娠期糖尿病;超声心动图;Tei指数;血糖控制;胎儿心脏功能doi:10.3969/j.issn.1002-266X.2017.01.003中图分类号:R587.1文献标志码:A文章编号:1002-266X(2017)01-0007-04ValueofechocardiographicTeiindexinevaluatingfetalcardiacfunctionofpregnantwomenwithgestationaldiabetesmell
4、itusKANQuan'e,LUPing,LUYu,YULu,LIQuanzhong(HenanProvincialPeople'sHospital,Zhengzhou450003,China)Abstract:ObjectiveToinvestigatethechangesoffetalcardiacfunctionandthefunctionofechocardiographicTeiindexinevaluationoffetalcardiacfunctionofpregnantwomenwithgestationaldiabetesmellitus(GDM
5、).MethodsTo-tally108casesofpregnantwomenwithGDMweredividedintothewell-controlledgroup(GDM1group,56cases)andpoorly-controlledgroup(GDM2group,52cases)accordingtotheirbloodglucoselevels.Meanwhile,weselected50casesofage,gestationalageandBMI-matchednormalpregnantwomenasthecontrols(controlg
6、roup).Thefastingplasmaglu-cose(FPG),postprandialglucose(2hPG)andglycosylatedhemoglobin(HbA1c)weremeasuredinthesethreegroups.Thefetalcardiacstructure,leftandrightventricularTeiindexesineachgroupweremeasuredbyDopplerechocardio-graphy.ResultsFPG,2hPGandHbA1coftheGDM2groupwerehigherthanth
7、oseoftheGDM1groupandcontrolgroup(allP<0.05).Thefetalleftventricularwallthickness(LVWT),rightventricularwallthickness(RVWT),rightven-tricularend-diastolicdiameter(RVDd),leftventricularfractionalshortening(LVFS),rightventricularfractionalshorten-ing(RVFS)andleftventricularejectionfracti
8、on(LV
此文档下载收益归作者所有