妊娠期糖尿病患者妊娠晚期心電圖臨床特點分析

姜美玲　王利平　時培軍

[摘要] 目的 分析妊娠期糖尿病患者妊娠晚期心電圖臨床特點。方法 隨機擇取2018年1月—2019年6月期間于該院收治的51例處于妊娠晚期的妊娠糖尿病患者作為實驗組進行研究分析，擇取同期至該院檢查的51名健康孕婦作為參照組，總結妊娠期糖尿病患者妊娠晚期心電圖臨床特點。結果 實驗組中心電圖異常發生率為43.14%，比參照組（11.76%），組間差異有統計學意義（P<0.05）;實驗組發生心電圖異常最突出的表現類型為竇性心動過速（31.82%）和ST-T改變（22.73%），參照組最突出的心電圖異常表現類型是竇性心動過速（33.33%）。結論 處于妊娠晚期的妊娠糖尿病患者發生心電圖異常風險較高，心電圖檢查可用于篩查存在心血管高危風險的患者，能夠最大程度上保障母嬰健康。

[關鍵詞] 妊娠糖尿病;妊娠晚期;心電圖臨床特點

[中圖分類號] R4? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）03（a）-0013-03

Analysis of the Clinical Characteristics of ECG in the Third Trimester of Gestational Diabetes Patients

JIANG Mei-ling， WANG Li-ping， SHI Pei-jun

Rizhao Central Hospital， Rizhao， Shandong Province， 276800 China

[Abstract] Objective To analyze the clinical characteristics of ECG in the third trimester of gestational diabetes. Methods Randomly selected 51 patients with gestational diabetes who were admitted to our hospital from January 2018 to June 2019 as the experimental group for research and analysis， and 51 healthly pregnant women who were examined in our hospital during the same period were selected as the reference group. To summarize the clinical characteristics of ECG in the third trimester of gestational diabetes patients. Results The incidence rate of central electrocardiogram abnormalities in the experimental group was 43.14%，higher than that in the reference group（11.76%）. The differences between the groups were statistically significant （P<0.05）. The most prominent manifestation of electrocardiographic abnormalities in the experimental group was nodal tachycardia （31.82%） and ST-T changes （22.73%）， the most prominent type of abnormal ECG in the reference group was sinus tachycardia （33.33%）. Conclusion Patients with gestational diabetes mellitus in the third trimester are at higher risk of abnormal ECG. ECG examination can be used to screen patients at high risk of cardiovascular disease， which can protect the health of mothers and infants to the greatest extent.

[Key words] Gestational diabetes; Late pregnancy; ECG clinical characteristics

心電圖檢查是孕期檢查中重點檢查項目，可用于篩查心臟病，排除心臟病風險確保孕婦能夠承受分娩沖擊，對于保障母嬰健康意義重大。由于環境、社會因素影響，導致遺傳病發病率不斷升高，其中妊娠糖尿病的發病風險也在不斷升高，妊娠糖尿病對于孕婦和宮內胎兒均會造成負面影響，與健康孕婦相比，妊娠糖尿病患者產后出血、產褥感染風險上升，胎兒發生窘迫和缺氧風險也同比上升[1-2]。妊娠糖尿病患者隨著妊娠時間的增加，血流動力學改變嚴重程度不斷加深，心臟承受負荷也隨之上升。為明確妊娠晚期妊娠糖尿病患者心電圖臨床特點，為臨床提供相關診療依據，特擇取2018年1月—2019年6月期間于該院收治的51例處于妊娠晚期的妊娠糖尿病患者作為實驗組進行研究分析，現報道如下。

1? 資料與方法

1.1? 一般資料

擇取于該院收治的51例處于妊娠晚期的妊娠糖尿病患者和同期至該院檢查的51名健康孕婦開展研究，妊娠糖尿病患者作為實驗組，正常孕婦作為參照組。……