Tei指数对妊娠期糖尿病胎儿心功能评估的应用研究-医学影像学与核医学专业论文.docxVIP

摘要 摘要 万方数据 万方数据 摘 要 目的：探讨Tei指数在妊娠期糖尿病胎儿心脏功能评价中的应用价值。 方法：选择正常妊娠孕妇 40 例（正常对照组），妊娠期糖尿病血糖控制良 好孕妇 18 例（血糖控制良好组），妊娠期糖尿病血糖控制不良孕妇 42 例（血 糖控制不良组）为研究对象。应用多普勒超声心动图测量每个胎儿左、右心室 Tei 指数。 结果：1. 胎儿左、右心室 Tei 指数与胎龄无明显相关性。 2.血糖控制不良组胎儿左、右心室 Tei 指数较正常对照组及血糖控制良好组 显著增高，差异有统计学意义（P0.05）；而血糖控制良好组胎儿左、右心室 Tei 指数与正常对照组比较差异无统计学意义（P0.05）。 3.左、右心室射血时间（ET）的平均水平，方差分析发现三组总体水平差异 有统计学意义（P0.05）,两两比较发现血糖控制不良组胎儿左、右心室的射血 时间较正常对照组及血糖控制良好组均明显缩短，差异有统计学意义（P0.05)。 血糖控制良好组与正常对照组比较无统计学意义（P0.05）。 结论：1.胎儿心脏 Tei 指数测量方法可靠、简易、敏感、稳定性好。可作为 检测妊娠期糖尿病胎儿心功能不全的指标。 2. 血糖控制不良组胎儿的心功能受损明显，临床应高度重视孕妇血糖水平 的监测及妊娠期糖尿病孕妇血糖水平的严格控制，以降低对胎儿心功能的损害。 关键词：Tei 指数；妊娠期糖尿病；胎儿心功能 II Abs Abstract ABSTRACT Objective: To explore the application value of Tei index in evaluation of cardiac function in fetuses at risk for HYPERLINK /gestational%20diabetes%20mellitus gestational diabetes mellitus. Method:Select 40 patients with normal pregnant women (normal group), gestational diabetes mellitus with good glycemic control in 18 cases of pregnant women (good blood sugar control group), uncontrolled gestational diabetes pregnant women 42 cases (poor glycemic control group) as the research object.Application of Doppler ultrasound Heartbeat diagram measured fetal left, right ventricular Tei index. Result: ①Fetal left, right ventricular Tei index had no significant correlation with gestational age. ②Poor glycemic control group, fetal left and right ventricular Tei index is lower than that of the normal control group and good blood sugar control group increased significantly, the difference was statistically significant (P0.05);And good blood sugar control group, fetal left and right ventricular Tei index compared with the normal control group had no significant difference (P0.05). ③Left, right ventricular ejection time (ET) on average, variance analysis with statistical significance was found between the three groups (P0.05),Two two comparison ejection time poor glucose control group of fetal left, right ventricle than in the normal control group and good bl