母体血糖水平对胎儿左心室舒张功能的影响及超声心动图定量分析价值

发布时间：2018-06-19 03:15

本文选题：超声心动图 + 妊娠期糖尿病　；参考：《西北国防医学杂志》2017年02期

【摘要】：目的:探讨超声心动图应用于母体血糖水平异常的胎儿左心室结构及舒张功能检查的价值。方法:2014-07~2016-06在本院检查的健康妊娠、妊娠期糖尿病A1级和A2级孕妇各50例纳入研究,分别设定为1、2、3组。超声心动图检查各组孕妇宫内胎儿的左心室结构相关指标,比较胎儿左心室舒张功能。结果:3组的室间隔舒张末期厚度(IVSd)、左室后壁舒张末期厚度(LVPWd)、二尖瓣环内径(MVA)均明显大于1、2组(P0.05),1、2组组间比较差异无统计学意义(P0.05);2、3组的峰值速度比值(E/AMV)均明显小于1组(P0.05),左室Tei指数(LV MPI)明显高于1组(P0.05),且2、3组组间比较差异有统计学意义(P0.05)。结论:母体的血糖水平越高对胎儿的左心室结构及其舒张功能的影响越大,超声心动图可准确地反映和评估胎儿心脏的发育情况,具有重要的临床应用价值。
[Abstract]:Objective: To investigate the value of echocardiography in the examination of the left ventricular structure and diastolic function of fetus with abnormal maternal blood glucose level. Methods: 50 cases of pregnant women who were examined in this hospital, 50 pregnant women with gestational diabetes A1 and A2, were set up as group 1,2,3 respectively. Echocardiography was used to examine intrauterine fetus of pregnant women in each group. The left ventricular diastolic function was compared with the left ventricular diastolic function. Results: 3 groups of ventricular septal end diastolic thickness (IVSd), left posterior wall diastolic thickness (LVPWd) and mitral annular diameter (MVA) were significantly greater than those in group 1,2 (P0.05), and there was no significant difference between group 1,2 (P0.05), and the peak velocity ratio (E/AMV) in 2,3 group was significantly less than that of group 1,2 (E/AMV). The 1 group (P0.05), the left ventricular Tei index (LV MPI) was significantly higher than that of the 1 group (P0.05), and there was a significant difference between group 2,3 (P0.05). Conclusion: the higher the maternal blood glucose level is, the greater the influence of the maternal blood glucose level on the left ventricular structure and diastolic function of the fetus. Echocardiography can accurately reflect and evaluate the development of the fetal heart, which has important clinical significance. Applied value.
【作者单位】：广西壮族自治区百色市人民医院超声科;
【分类号】：R445.1;R714.5

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