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首页> 外文期刊>Journal of Clinical Medicine >The Relevance of Fetal Abdominal Subcutaneous Tissue Recording in Predicting Perinatal Outcome of GDM Pregnancies: A Retrospective Study
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The Relevance of Fetal Abdominal Subcutaneous Tissue Recording in Predicting Perinatal Outcome of GDM Pregnancies: A Retrospective Study

机译：胎儿皮下组织记录在GDM妊娠围产期结果预测中的相关性：回顾性研究

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Guidelines on the management of gestational diabetes (GDM) instruct physicians to involve ultrasound-based monitoring of fetal growth in addition to blood glucose. So far, glucose control besides clinical parameters like maternal body mass index (BMI) and gestational weight gain have been shown to predict neonatal outcome. We aimed to evaluate the discriminative ability of fetal abdominal subcutaneous tissue (FAST) in addition to standard ultrasound parameters like abdominal circumference (AC) and estimated fetal weight (EFW) for perinatal complications like large for gestational age (LGA), hypoglycemia, hyperbilirubinemia, mode of delivery and admission to neonatal intensive care unit (NICU). Ultrasound data and neonatal outcome was collected of 805 GDM cases from 2012 to 2016: 3205 FAST, 3195 AC-measurements and 3190 EFW calculations were included. AC, EFW and FAST increased linear with gestational age. Combining ultrasound and clinical parameters improved predictive power for LGA. In the subgroup where fetuses grow with an AC 75th additional adding of FAST to standard ultrasound parameters increased predictive power for hypoglycemia. Our results confirm inclusion of ultrasound parameters to be beneficial in monitoring GDM pregnancies. Additional FAST determination revealed to be of potential clinical relevance in the subgroup AC 75th percentile.
机译：妊娠期糖尿病（GDM）管理指导指导医生涉及除血糖之外的胎儿生长的超声波监测。到目前为止，已经显示出除了母体体重指数（BMI）等临床参数之外的葡萄糖控制，并且已经显示出预测新生儿结果。我们旨在评估胎儿腹部皮下组织（快速）的歧视能力，除了腹周围（AC）等标准超声参数，抑制胎儿并发症（LGA），低血糖，高胆红素血症等围产期并发症，新生强化护理单元（NICU）的交货方式和入场。从2012年到2016年的805个GDM案例收集超声数据和新生儿结果：3205快速，包括3195次AC测量和3190次EFW计算。 AC，EFW和快速增加了胎龄的线性。结合超声和临床参数改进了LGA的预测力。在胎群中，胎儿的增长，AC> 75次增加快速加入标准超声参数增加了低血糖的预测力。我们的结果确认将超声参数纳入监测GDM怀孕的有益。额外的快速测定显示在亚组AC> 75百分位中的潜在临床相关性。

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