孕产妇糖尿病对新生儿听力的影响
Amrutha P1, Nayana V G1, Nimalka Maria Sequeira2
1Department of Otorhinolaryngology, Yenepoya Medical College, Deralakatte, Dakshina Kannada, Mangalore, Karnataka India.
概括
孕期糖尿病显著增加了新生儿听力损失的风险. 与对照组相比,患有糖尿病母亲的婴儿出现中度至重度双边听力损失的发病率较高.
科学领域:
- 新生儿护理 新生儿护理
- 内分泌学 在内分泌学.
- 听力学 听力学是指听力学.
背景情况:
- 孕期糖尿病 (GDM) 是新生儿不良后果的重要危险因素.
- 怀孕期间的孕产妇高血糖症可能会对胎儿发育产生负面影响,包括听觉系统.
- 遗传性听力损失是由于GDM导致胎儿发育受损的潜在后果.
研究的目的:
- 确定孕期糖尿病母亲产生的婴儿新生儿听力损失的发生率.
- 为了比较糖尿病和非糖尿病母亲的新生儿之间的听力结果.
主要方法:
- 一个病例对照研究,涉及86名糖尿病母亲的新生儿 (病例) 和86名非糖尿病母亲的新生儿 (对照).
- 记录了母亲的产前糖尿病史和葡萄糖水平.
- 新生儿听力通过扭曲产品耳声发射 (DPOAE) 和听力脑干响应 (ABR) 测试进行评估.
主要成果:
- 在病例和对照之间观察到听力测试结果的统计学上显著差异.
- 98%的糖尿病母亲的新生儿表现出中度至严重的双边听力损失.
- 所有接受ABR测试的新生儿都表现出异常的波形,而对照组只有轻微的双边听力损失.
结论:
- 糖尿病母亲的婴儿有明显更高的听力异常结果的风险.
- 孕产妇高血糖可能对正在发育的胎儿听力系统产生毒性影响.
- 强调需要改善糖尿病怀孕的血糖控制和糖尿病母亲新生儿的早期听力查.
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