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基于超声成像探讨妊娠期糖尿病对围产期结局影响的改进支持向量机算法

Improved support vector machine algorithm based on the influence of Gestational Diabetes Mellitus on the outcome of perinatal outcome by ultrasound imaging.

作者信息

Liu Hehua, Liu Jie

机构信息

Hehua Liu, Attending Physician. Department of Obstetrics, East Hospital of The Fourth Hospital, Shijiazhuang City, 050011, China.

Jie Liu, Attending Physician. Department of Emergency Medicine, East Hospital of The Fourth Hospital, Shijiazhuang City, 050011, China.

出版信息

Pak J Med Sci. 2021;37(6):1625-1629. doi: 10.12669/pjms.37.6-WIT.4855.

Abstract

OBJECTIVES

In order to understand the incidence and epidemiological characteristics of gestational diabetes mellitus, the ultrasound imaging of support vector machine processing algorithm was used to clarify the outcome of maternal and neonatal gestational diabetes mellitus.

METHODS

This study selected clinical data of 12,190 pregnant women who were hospitalized for delivery, and were divided into diabetic group (1268 cases) and control group (10922 cases) according to the diagnosis of gestational diabetes. The study was conducted from January 1, 2012 to December 31, 2019. Colour Doppler ultrasound was performed to record fatal umbilical artery and brain the middle arteries and uterine arteries which are effective indicators of measuring fatal intrauterine conditions. Chi-square test was used to compare the rates between groups, and multivariate logistic regression was used for labour outcomes.

RESULTS

The incidence of diabetes during pregnancy is about 10.4% (1268/12190). Senior citizens and women suffering from obesity increase the risk of gestational diabetes, maternal hypertension disorders in pregnancy, premature rupture of membranes, oligohydramnios, fatal distress, multiple births, malpresentation risk increased significantly (P <0.05) than the control group. In gestational diabetes caesarean section rate was significantly higher (61.0% vs46.4%). Caesarean new born 5-minute Apgar score was significantly lower than the control group (P <0.05).

CONCLUSION

In maternal gestational diabetes in high risk pregnancies, complications of pregnancy significantly increase the importance of enhancing weight management and blood glucose monitoring to reduce complications.

摘要

目的

为了解妊娠期糖尿病的发病率及流行病学特征,采用支持向量机处理算法的超声成像来阐明妊娠期糖尿病母婴结局。

方法

本研究选取12190例住院分娩的孕妇临床资料,根据妊娠期糖尿病诊断分为糖尿病组(1268例)和对照组(10922例)。研究时间为2012年1月1日至2019年12月31日。采用彩色多普勒超声记录胎儿脐动脉、大脑中动脉及子宫动脉,这些是衡量胎儿宫内状况的有效指标。采用卡方检验比较组间率,采用多因素logistic回归分析分娩结局。

结果

妊娠期糖尿病发病率约为10.4%(1268/12190)。高龄及肥胖女性患妊娠期糖尿病风险增加,妊娠合并高血压疾病、胎膜早破、羊水过少、胎儿窘迫、多胎、胎位异常风险均显著高于对照组(P<0.05)。妊娠期糖尿病剖宫产率显著更高(61.0%对46.4%)。剖宫产新生儿5分钟阿氏评分显著低于对照组(P<0.05)。

结论

在高危妊娠的孕产妇妊娠期糖尿病中,妊娠并发症显著增加,加强体重管理和血糖监测以减少并发症具有重要意义。

相似文献

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Maternal and perinatal outcomes of extreme obesity in pregnancy.孕期极度肥胖的孕产妇及围产期结局
J Obstet Gynaecol Can. 2013 Jul;35(7):606-611. doi: 10.1016/S1701-2163(15)30879-3.

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