Moore Lisa E
Lisa E Moore, Department of Obstetrics and Gynecology, Texas Tech Health Sciences Center, El Paso, TX 79905, United States.
World J Diabetes. 2017 Jan 15;8(1):7-10. doi: 10.4239/wjd.v8.i1.7.
To evaluate the frequency and the quantity of polyhydramnios attributable to diabetes in pregnancy.
The charts of patients with a four-quadrant amniotic fluid index (AFI) ≥ 20 cm and either a diagnosis of diabetes or a diabetes screening test during the index pregnancy were retrospectively reviewed. AFI was stratified into 5 categories and the frequency of diabetes was evaluated for each group. The frequency of polyhydramnios attributable to diabetes was compared to the frequency of polyhydramnios in the setting of fetal anomalies or no known cause.
One thousand five hundred and forty-five patients were included in the study. Eight point five percent ( = 131) had diabetes and no other cause for polyhydramnios. Eleven point two percent (173) had antenatally diagnosed anomalies. For all categories of AFI except the largest (> 40.9 cm) the most common cause of polyhydramnios was idiopathic. In patients with diabetes the AFI was most likely to be between 26 cm and 35.9 cm.
The rate of polyhydramnios in this study is 8.5%. Patients with diabetes most commonly have mild polyhydramnios between 26 and 35.9 cm of fluid on a four-quadrant AFI.
评估妊娠糖尿病所致羊水过多的发生率及羊水量。
回顾性分析妊娠期间四象限羊水指数（AFI）≥20 cm且诊断为糖尿病或进行过糖尿病筛查试验的患者病历。AFI分为5类，并对每组的糖尿病发生率进行评估。将糖尿病所致羊水过多的发生率与胎儿畸形或不明原因羊水过多的发生率进行比较。
1545例患者纳入研究。8.5%（n = 131）患有糖尿病且无其他羊水过多原因。11.2%（173例）产前诊断为胎儿畸形。除最大类别（>40.9 cm）外，所有AFI类别的羊水过多最常见原因均为特发性。糖尿病患者的AFI最可能在26 cm至35.9 cm之间。
本研究中羊水过多的发生率为8.5%。糖尿病患者最常见的是四象限AFI显示羊水量在26至35.9 cm之间的轻度羊水过多。
