糖尿病母亲的婴儿心声检查结果
Ahmed Samir1, Carmen Nassar1, Ghada M Idriss1
1Department of Pediatrics and Neonatology, King Fahad General Hospital, Al-Baha City, SAU.
Cureus
|October 20, 2025
概括
糖尿病母亲 (IDM) 的婴儿患先天性心脏病 (CHD) 的风险明显更高. 新生儿早期心声学查对于检测这些心脏异常至关重要.
科学领域:
- 新生儿心脏病学 新生儿心脏病学
- 孕产妇和胎儿的医学
- 儿科心血管研究.
背景情况:
- 母亲糖尿病 (DM) 是新生儿先天性心脏病 (CHD) 的已知危险因素.
- 糖尿病母亲 (IDMs) 的婴儿面临结构性和功能性心脏问题的风险增加,尽管围产期护理得到改善.
研究的目的:
- 评估糖尿病母亲出生的新生儿心声学异常的患病率和类型.
- 将这些发现与新生儿的对照组进行比较.
主要方法:
- 一项回顾性研究涉及200名新生儿 (100名IDM,100名对照) 在Al Baha国王法哈德医院.
- 在生命的第一周内进行了标准化的心声回声评估.
- 对母亲和新生儿的数据进行了分析,以确定与临床变量之间的关联.
主要成果:
- 24%的IDM表现出病理性心血管疾病,包括心室隔膜缺陷,专利性动脉管和过度缩小的心肌病.
- 过渡性心脏发现,如专利卵孔和小专利动脉通道 (PDA),在IDM中很常见 (64%).
- 较低的出生体重对妊娠年龄显著与心脏病相关 (p=0.026).
结论:
- 与对照组相比,IDM显示结构性先天性心脏异常的风险大大增加.
- 生命第一个星期的早期心声学查对于IDM中心脏病变的及时检测和管理至关重要.
- 建议进行持续的监测,以了解这些发现的长期结果.
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