妊娠期糖尿病与胎儿肝长度的相关性分析

Correlation analysis between gestational diabetes mellitus and fetal liver length

目的探讨孕中期妊娠期糖尿病与胎儿肝长度的相关性。方法选择2019年1月—2020年5月包头市中心医院孕24~26周行OGTT诊断为妊娠期糖尿病的30例孕妇为观察组,以相同孕周30例正常孕妇为对照组,分析超声测量2组胎儿的肝长度差异并追踪新生儿出生体重。结果观察组孕妇胎儿肝长度大于对照组,差异有统计学意义(P<0.05);观察组孕妇新生儿出生体重大于对照组,差异具有统计学意义(P<0.05)。结论利用超声等非侵入性工具评估胎儿肝长度可以辅助提高妊娠期糖尿病检出率,尽早采取干预措施维持适当血糖水平,以减低妊娠不良结局及远期并发症,尤其对于那些不能耐受OGTT或拒绝行OGTT的患者具有一定的辅助诊断价值。

Objective To discuss the relationship between fetal liver length and diabetes mellitus in second trimester.Methods Thirty pregnant women with GDM diagnosed by OGTT at 24-26 weeks in Baotou Central Hospital from January 2019 to May 2020 were selected as the observation group,and 30 normal pregnant women with the same gestational age were selected as the control group,to analyze the ultrasonic measurement of fetal liver length difference between the two groups and to follow up newborn birth weight.Results The fetal liver length of pregnant women in the observation group was greater than that of the control group,and the difference was statistically significant(P<0.05),and the birth weight of newborn pregnant women in the observation group was greater than that of the control group,and the difference was also statistically significant(P<0.05).Conclusion Use of ultrasound as non-invasive tools,to assess fetal liver length can help improve the detection rate of gestational diabetes,and early intervention measures to maintain appropriate blood glucose levels,in order to reduce adverse outcomes and long-term complications of pregnancy has a certain auxiliary value,especially for those who cannot tolerate OGTT or refuse OGTT.