彩超检测妊娠中期胎儿体重与孕妇血糖的关系

THE RELEVANCE BETWEEN FETAL WEIGHT BY COLOR ULTRASOUND AND THE LEVEL OF BLOOD GLUCOSE IN MID-TERM PREGNANCY WOMEN

目的探讨孕中期胎儿体重与孕妇血糖的关系。方法选取该院2015年1月—2016年12月就诊的61例妊娠中期胎儿体重大于相应孕周作为观察组,同时随机选取同期的40例妊娠中期胎儿体重符合相应孕周作为对照组,彩超检测胎儿体重,同时检测孕妇空腹血糖(FDG)、餐后2h血糖,总胆固醇、甘油三脂、高密度脂蛋白、低密度脂蛋白的水平。结果观察组胎儿体重(1 010.93±57.56)g,对照组(859.18±58.27)g,二组差异具有统计学意义(P<0.05);观察组孕妇孕期体重增长(18.87±2.87)g,对照组增长(13.20±4.48)g,二组差异具有统计学意义(P<0.05);观察组孕妇空腹血糖(FDG)(4.92±0.58)mmol/L,对照组(4.29±0.44)mmol/L,二组差异具有统计学意义(P<0.05);观察组孕妇2h血糖(6.50±1.67)mmol/L,对照组(5.89±1.00)mmol/L,二组差异具有统计学意义(P<0.05);观察组糖耐量异常者17例,对照组糖耐量异常者4例,二组差异具有统计学意义(P<0.05)。观察组孕妇总胆固醇(5.45±1.23)mmol/L、甘油三脂(2.51±1.24)mmol/L、高密度脂蛋白(1.71±0.38)mmol/L、低密度脂蛋白(3.47±0.89)mmol/L,而对照组分别为(4.86±0.92)mmol/L、(1.83±1.10)mmol/L、(1.54±0.26)mmol/L、(2.30±0.66)mmol/L,二组差异具有统计学意义(P<0.05)。结论妊娠中期彩超发现胎儿体重过大,结合孕妇血糖、血脂水平的检查,可以更好的对妊娠中期胎儿体重状况进行了解和评估,更好的对孕妇血糖,血脂水平进行评估,有利于早期发现妊娠期孕妇血糖、血脂情况,有利于孕妇安全度过妊娠期,促进胎儿更好的生长、发育。为临床早期诊断,治疗提供依据。

Objective To study the relations between the fetal weight in mid pregnancy with pregnant women blood glucose,blood lipid.Methods Sixty-one women in second trimester of pregnancy in author's hospital from June 2015 to October 2015 whose fetal weight is greater than the corresponding gestational ages were chosed as observation group.At the same,40 cases in second trimester of pregnancy with normal gestational ages were randomly selected as control group.Fetal weight was detected with color ultrasound.Pregnant women's fasting plasma glucose,2h plasma glucose,total cholesterol,triglycerides,high-density lipoprotein,low density lipoprotein level were measured.Results The fetal weight in the observation group was(1010.93±57.56)g,while in control group was(859.18±58.27)g;the statistically difference was significant between the two groups(P<0.05).The weight gain during pregnancy for pregnant women was(18.87±2.87)g in the observation group,(13.20±4.48)g in the control group,there was statistically significant difference between the two groups(P<0.05).FDG in observation group was(4.92±0.58)mmol/L,in the control group was(4.29±0.44)mmol/L,the statistically difference was significan(P<0.05).2h plasma glucose in observation group was(6.50±1.67)mmol/L,(5.89±1.00)mmol/L in the control group,the statistically difference was also significan(P<0.05.Abnormal glucose tolerance in observation group was 17 cases,in the control group was 4 cases(P<0.05).Pregnant women's total cholesterol,triglycerides,high-density lipoprotein,low density lipoprotein level in observation group were(5.45±1.23)mmol/L,(2.51±1.24)mmol/L,(1.71±0.38)mmol/L,3.47±0.89 mmol/L;which in control group was(4.86±0.92)mmol/L,(1.83±1.10)mmol/L,(1.54±0.26)mmol/L,(2.30±0.66)mmol/L(P<0.05).Conclusions Fetal weight greater in second trimester of pregnancy with color Doppler,combined with blood glucose,blood lipid level can better evaluate the fetal weight in second trimester of pregnancy,the pregnant woman'blood glucose,blood lipid level.It is helpful for early detection of pregnancy women's blood glucose,blood lipid.It is helpful for pregnancy women security through the pregnancy.It is helpful to promote fetal growth and development better.It provide a basis for clinical early diagnosis and treatment.