肥胖孕妇胎儿心外膜脂肪厚度:对胎儿心脏功能和新生儿预后的影响

IF 0.7 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-01 Epub Date: 2024-03-19 DOI:10.1055/a-2267-5478
Şükran Doğru, Fatih Akkuş, Ülfet Sena Metin, Ali Acar
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引用次数: 0

摘要

目的本研究旨在评估肥胖孕妇胎儿心外膜脂肪厚度(EFT)和胎儿心肌表现指数(MPI)及其对新生儿预后的影响:这项前瞻性研究共纳入 102 名孕妇,其中 51 名肥胖,51 名体重正常。对所有患者进行了胎儿 EFT 和 MPI 测量:结果:胎儿 EFT 和 Mod-MPI 显示,肥胖孕妇与对照组之间存在显著的统计学差异(P=0.0001,P=0.001)。第 5 分钟 APGAR 评分低于 7 分的最佳胎儿 EFT 预测临界值为 1.22 mm,灵敏度为 86.96%,特异度为 54.43%(P=0.001):结论:肥胖孕妇的胎儿 EFT 和 mod-MPI 均较高。令人鼓舞的是,胎儿EFT可预测低APGAR,但如果能对这些由肥胖引起的心脏变化进行产后随访,则可获得更重要的信息。
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Fetal Epicardial Fat Thickness in Obese Pregnant Women: Its Effect on Fetal Cardiac Function and Neonatal Outcomes.

Objective: This study aimed to evaluate fetal epicardial fat thickness (EFT) together with fetal myocardial performance index (MPI) and its effects on neonatal outcomes in obese pregnant women.

Materials and methods: A total of 102 pregnant women, 51 obese and 51 of normal weight, were included in this prospective study. Fetal EFT, and MPI measurements were performed for all patients.

Results: Fetal EFT and Mod-MPI showed a statistically significant difference between obese pregnant women and the control group (p=0.0001, p=0.001). The optimal fetal EFT predictive cut-off value for the 5th-minute APGAR score below 7 was 1.22 mm, with a sensitivity of 86.96% and a specificity of 54.43% (p=0.001).

Conclusion: Fetal EFT and mod-MPI were higher in obese pregnant women. It is encouraging that fetal EFT predicts low APGAR, but more important information can be obtained if postnatal follow-up of these cardiac changes caused by obesity can be performed.

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来源期刊
Zeitschrift fur Geburtshilfe und Neonatologie
Zeitschrift fur Geburtshilfe und Neonatologie OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
1.10
自引率
0.00%
发文量
166
审稿时长
>12 weeks
期刊介绍: Gynäkologen, Geburtshelfer, Hebammen, Neonatologen, Pädiater
期刊最新文献
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