| 摘要: |
| [摘要] 目的：为研究妊娠期糖尿病孕妇与正常妊娠孕妇在妊娠中晚期胎儿前腹壁厚度是否存在差别。方法：根据75g口服葡萄糖耐量实验结果诊断为妊娠期糖尿病的32名孕妇作为观察组，同时选取正常妊娠的60名孕妇作为对照组。利用超声诊断仪器测量妊娠期糖尿病孕妇及正常妊娠孕妇胎儿的双顶径（BPD）、股骨长度（FL）、腹围（AC）以及胎儿前腹壁厚度（AAWT），比较两组的差异。结果：32名妊娠期糖尿病组胎儿前腹壁厚度(3.97±0.64mm)和60名正常妊娠组胎儿前腹壁厚度(3.10±0.27mm)在统计学上存在显著差异(P<0.01)，在双顶径测量、股骨长度的测量以及腹围的测量上不存在显著的差别(P>0.05)。结论：胎儿前腹壁厚度用于评估糖尿病孕妇胎儿生长,可以作为超声评估妊娠期糖尿病的指标之一，对于妊娠期糖尿病的诊断具有重要的临床意义和价值。 |
| 关键词: 妊娠期糖尿病 胎儿 前腹壁厚度 |
| DOI： |
| 投稿时间：2016-04-18修订日期：2016-06-06 |
| 基金项目: |
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| Clinical significance and value of gestational diabetes mellitus and fetal anterior abdominal wall thickness |
| Changzhe |
| () |
| Abstract: |
| 【Abstract】: Objective: To investigate the difference of fetal anterior abdominal wall thickness between normal pregnant women and gestational diabetes mellitus pregnant women in second and third trimester of pregnancy. Methods: According to the results of 75g oral glucose tolerance test, 32 pregnant women diagnosed with gestational diabetes mellitus were selected as the observation group, and 60 normal pregnant women were selected as control group. Fetal ultrasound was used to measure the biparietal diameter (BPD), femur length (FL), abdominal circumference (AC) and anterior abdomen wall thickness (AAWT) between normal pregnant women and gestational diabetes mellitus pregnant women. And compare the differences between the two groups. Results: There were significant differences in the thickness of the anterior abdominal wall between control group and observational group(3.97±0.64mm vs 3.10±0.27mm, P<0.01). No significant difference was observed in the BPD、FL and AC（P>0.05）. Conclusions: The measurement of fetal anterior abdominal wall thickness, used for evaluating fetal growth during diabetic pregnancies, can be served as one of the indexes for the ultrasound evaluation of gestational diabetes mellitus. It has an important clinical significance and value for the diagnosis of gestational diabetes mellitus. |
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