在孕期糖尿病中胎儿心声检查
Shaheera Ajaz1, Shahood A Kakroo2, Huda Amin2
1Obstetrics and Gynaecology, Directorate of Health Services, Srinagar, IND.
Cureus
|September 2, 2025
概括
孕期糖尿病 (GDM) 导致胎儿心脏变化,包括更厚的壁和腹功能受损,通过胎儿心声学检测. 这些早期适应突显了对GDM怀孕的监测的需要.
科学领域:
- 心脏病学
- 产妇和胎儿医学
- 发育生物学
背景情况:
- 孕期糖尿病 (GDM) 对母亲和胎儿的健康构成风险,可能影响胎儿的心脏发育.
- 在暴露于GDM的胎儿中早期发现心脏适应对于治疗至关重要.
研究的目的:
- 评估患有GDM的母亲胎儿的结构和功能心脏变化.
- 将这些心脏参数与使用胎儿心声图的健康孕妇进行比较.
主要方法:
- 一项涉及100名患有GDM和100名对照女性的比较性横截研究.
- 胎儿心声学 (2D和脉冲波多普勒) 在怀孕24至28周之间进行.
- 检查室间隔膜 (IVS) 厚度,后壁厚度,E/A比率和部分缩短.
主要成果:
- 在GDM组中的胎儿显示左心室后壁和IVS厚度显著增加 (p < 0. 001).
- 在GDM群体中观察到显著较低的E/ A比率,这表明扩张功能受损 (p < 0. 001).
- 通过胎儿或产后心声扫描,在两组中都没有发现先天性心脏缺陷.
结论:
- 患有GDM的母亲的胎儿表现出显著的结构和功能性心脏变化,包括心肌加厚和腹功能障碍.
- 胎儿心声学对于检测GDM怀孕中的这些早期心脏变化至关重要.
- 需要进一步研究以了解长期的心血管结果.
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