妊娠期糖尿病的干预治疗对胎儿和婴儿心脏功能影响

摘要

Objective To study the effect of intervention treatment in gestational diabetes mellitus(GDM) on the fetal and baby heart function. Methods 200 GDM pregnant women of our hospital from January 2010 to January 2012 were selected,randomly divided into standard intervention group and conventional intervention group(n= 100). Fetal and infant heart function was detected using color ultrasonograph. Results The value of conventional intervention group was higher than that of standard intervention group in fetal stage, and recovered to standard intervention group level in infancy. Tei index of left ventricle in fetal conventional intervention group was 0. 48±0. 13,and that of right ventricle was 0. 41±0. 09. Tei index of left ventricle in standard intervention group was 0. 31±0. 07, and that of right ventricle was 0. 28±0. 07. Tei index in conventional intervention group was significantly higher than that in standard intervention group (P<0. 05). Conclusion Intervention treatment in GDM pregnant women can improve fetal and infant heart function.%目的 研究妊娠期糖尿病(GDM)的干预治疗对其胎儿、婴儿心脏功能的影响.方法 选取该院2010年1月至2012年1月共200例GDM孕妇,随机分为规范干预组及常规干预组,各100例,利用心脏彩超测定两组胎儿、婴儿心脏功能情况.结果 心脏彩超提示,胎儿期常规干预组较规范干预组数值增高,婴儿期恢复至规范干预组相似水平,胎儿期常规干预组左心室Tei指数为0.48±0.13,右心室为0.41±0.09;而规范干预组左心室Tei指数为0.31±0.07,右侧0.28±0.07,常规干预组均较规范干预组升高显著,差异有统计学意义(P＜0.05).结论 对GDM孕妇行良好、全程、准确、规范干预,可使胎儿期心脏解剖结构及功能性指标更接近健康状态.