在妊娠糖尿病中使用剪波弹性图形对胎盘和胎儿肺部的评估:一种创新的方法
Burak Bayraktar1,2, Hakan Golbasi3,4, Ibrahim Omeroglu3
1Department of Obstetrics and Gynecology, Division of Perinatology, Ankara Etlik City Hospital Ankara, Ankara, Turkey.
概括
孕期糖尿病增加了胎盘和胎儿的肺硬度. 糖尿病孕妇胎儿肺硬度较高与新生儿呼吸系统问题有关,这表明需要更密切的监测.
科学领域:
- 产科和妇科 产科和妇科
- 胎儿医学 胎儿医学
- 新生儿科学 新生儿科学
背景情况:
- 已知孕期糖尿病 (GDM) 影响胎儿发育.
- 胎儿肺成熟延迟是GDM的一个已知的并发症.
研究的目的:
- 调查有或没有GDM的孕妇的胎盘和胎儿肺硬度.
- 评估胎儿硬性和新生儿呼吸道疾病之间的关系.
主要方法:
- 在高等教育中心进行前性队列研究.
- 包括接受75克口服葡萄糖耐受性测试的孕妇 (怀孕24-28周).
- 用于硬度测量的点剪波弹性图 (pSWE).
主要成果:
- 与对照组相比,在GDM组观察到的胎盘和肺硬度 (SWE速度) 的增加.
- 胎盘和肺部较高的度与新生儿呼吸系统发病率相关.
- 肺SWE速度显示高预测值 (AUC 0.88) 新生儿呼吸道发病率在GDM.
结论:
- 胎儿的胎盘和肺硬度在糖尿病复杂的怀孕中升高.
- 胎儿肺硬度增加是新生儿呼吸系统发病率的重要预测因素.
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