应用Tei指数评估胎儿整体心室功能的临床研究

发布时间：2018-04-21 14:34

本文选题：Tei指数 + 胎儿　；参考：《实用医学杂志》2015年24期

【摘要】：目的:应用脉冲多普勒测量不同组别胎儿的Tei指数,评估临床应用价值。方法:选取120例正常胎儿,根据孕周分为24~29~(+6)孕周组(n=40)、30~35~(+6)孕周组(n=40)、36~41~(+6)孕周组(n=40);185例病理胎儿:妊高征胎儿组100例,其中妊娠期高血压38例,轻度子痫前期30例,重度子痫前期例32例;妊娠期糖尿病胎儿85例,其中血糖控制良好45例,血糖控制不良40例。测量左、右心室Tei指数。结果:妊娠晚期正常胎儿左心室平均Tei指数为0.41±0.17,右心室为0.41±0.16,Tei指数与孕周无关。重度子痫前期组、妊娠期糖尿病血糖控制不良组胎儿左、右心室Tei指数(0.50±0.15、0.54±0.13;0.50±0.17、0.50±0.10)均高于正常组(0.41±0.17、0.41±0.16),差异有统计学意义(P0.05)。结论:中晚期正常妊娠胎儿Tei指数不受孕龄的影响。重度子痫前期胎儿、妊娠期糖尿病血糖控制不良胎儿左、右心室Tei指数均显著高于正常组。Tei指数可有效评估胎儿心室功能。
[Abstract]:Objective: to evaluate the clinical value of measuring Tei index of different groups of fetuses by pulse Doppler. Methods: one hundred and twenty normal fetuses were divided into two groups according to gestational weeks: 38 cases of gestational hypertension, 30 cases of mild preeclampsia and 30 cases of preeclampsia in gestational week group (6). 185 cases of pathological fetuses in gestational week group were divided into gestational hypertension group (n = 38), mild preeclampsia group (n = 30), preeclampsia group (n = 30), gestational hypertension group (n = 38) and mild preeclampsia group (n = 30). There were 32 cases of severe preeclampsia and 85 cases of gestational diabetes mellitus, of which 45 cases had good blood glucose control and 40 cases had poor blood glucose control. Tei index of left and right ventricle was measured. Results: the mean Tei index of left ventricle and right ventricle were 0.41 卤0.17 and 0.41 卤0.16 respectively. The Tei index of left and right ventricle in severe preeclampsia group and gestational diabetes mellitus (GDM) group was 0.50 卤0.15 卤0.54 卤0.13 卤0.50 卤0.50 卤0.10), which was higher than that in normal group (0.41 卤0.17 卤0.41 卤0.16), and the difference was statistically significant (P 0.05). Conclusion: the fetal Tei index is not affected by gestational age. The Tei index of left and right ventricle of fetus with severe preeclampsia and gestational diabetes mellitus with impaired blood glucose control was significantly higher than that of normal group. Tei index could effectively evaluate fetal ventricular function.
【作者单位】：漯河市中心医院漯河医学高等专科学校第一附属医院妇产科;漯河医学高等专科学校药理教研室;濮阳市油田总医院超声科;漯河市中心医院漯河医学高等专科学校第一附属医院超声科;
【基金】：漯河医学高等专科学校2013年度科研计划项目(编号:2013-S-LMC12)
【分类号】：R714.5

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