论文部分内容阅读
糖尿病孕妇的高血糖可刺激胎儿胰岛素分泌而致巨大儿,动物模型提示高胰岛素血症可导致某些组织包括肝脏的增长。为探讨糖尿病孕妇的胎儿肝脏长度与母糖尿病的关系,测量的104例孕妇中26例Ⅰ型糖尿病患者和54例Ⅱ型患者作为研究组,24例肥胖者作为对照组。并均在20孕周前通过超声检查确定孕周。严重糖尿病并发症或隐匿型高血压孕妇,妊娠伴有严重胎儿先天性畸形、宫内生长迟缓或早产者除外。定期检测血糖和血浆果糖胺以控制糖尿病孕妇的血糖。18、28和36孕周时应用超声仪测量胎儿双顶径、股骨长度、腹围和肝脏长度,将结果与相应孕周的正常值比较。
Hyperglycemia in diabetic pregnant women can stimulate fetal insulin secretion caused by huge children, animal models suggest that hyperinsulinemia can lead to some tissues, including liver growth. To investigate the relationship between fetal liver length and mother diabetes mellitus in pregnant women with diabetes mellitus, 26 pregnant women with type I diabetes mellitus and 54 type Ⅱ patients were enrolled in the study. 24 obese individuals served as the control group. And gestational weeks were confirmed by ultrasound examination before 20 gestational weeks. Severe diabetic complications or occult hypertensive pregnant women, pregnancy associated with severe fetal congenital malformations, intrauterine growth retardation or premature unless. Regular testing of blood glucose and plasma fructosamine to control blood glucose in pregnant women with diabetes. Fetal biparietal diameter, femur length, abdominal circumference, and liver length were measured at 18, 28, and 36 weeks of gestation by using a sonicator and the results were compared to normal values for the corresponding gestational age.