糖尿病母亲与非糖尿病母亲所生新生儿先天性心脏病的比较

Manifa Afrin, Nazneen Mohal Lima, Tania Taher, Mohammad Jamal Abu Nasser
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摘要

背景:先天性心脏病(CHD)占世界新生儿主要先天性异常的三分之一,最常见于糖尿病母亲的婴儿,但由于心脏检查设施的建立,特别是新生儿超声心动图,世界各地的发病率正在增加。材料与方法:19年7月至20年6月在达卡的两家私立医院进行了一项以医院为基础的横断面研究。从两家医院的托儿所和新生儿重症监护室共纳入90名疑似冠心病的新生儿,要求进行超声心动图检查。结果:在本研究中,52%的母亲在妊娠期间患有糖尿病(DM),其余为血糖正常。非糖尿病母亲与糖尿病母亲子代冠心病发生率为41.11%,组间差异无统计学意义(p=0.535)。胎龄和母亲共存疾病对新生儿冠心病的影响较小(p <0.1)。在新生儿条件下,只有呼吸窘迫与冠心病显著相关(p<0.05)。结论:研究者根据我们的研究,糖尿病不会导致新生儿冠心病。研究人员可以关注其他母亲合并症和其他因素,如出生后呼吸窘迫和发绀,这可能会导致新生儿冠心病。[J]孟加拉大学物理外科20123;41:新
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Comparison of Congenital Heart Disease between Neonates Born to Diabetic and Non-diabetic Mothers
Background: Congenital heart disease (CHD) contributes about one-third of all major congenital anomalies in the world among the neonates, most common in infants of diabetic mothers but incidence is increasing all over the world due to establishing cardiac investigation facilities especially neonatal echocardiogram. Materials & Methods: A hospital-based cross-sectional study was done in two private hospitals in Dhaka from July ’19 to June ’20. A total of 90 neonates were included from nursery and neonatal intensive care units of both hospitals who were requested for echocardiography as suspected CHD. Results: In our study 52% mothers had diabetes mellitus (DM) during this conception and remains were normoglycemic. CHD present in 41.11% non-DM & DM mother’s offspring, there was no significant statistical difference among the groups (p=0.535). Gestational age and maternal coexisting diseases caused little impact on CHD in neonates (p <0.1). Regarding neonatal conditions only respiratory distress was significantly associated with CHD at p<0.05 level. Conclusions: Researcher according to our study diabetes mellitus does not contribute to CHD in neonates. Researcher can focus on other maternal comorbidities and other factors like respiratory distress and cyanosis after birth, which may contribute to CHD in neonates. J Bangladesh Coll Phys Surg 2023; 41: 27-32
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