产妇泌乳启动延迟与其患妊娠期糖尿病的相关性分析

发布时间：2018-03-16 19:33

  本文选题：糖尿病　切入点：妊娠　出处：《中华护理杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨妊娠期糖尿病(gestational diabetes mellitus,GDM)与泌乳启动延迟(delayed onset of lactogenesis,DOL)之间的关系,为GDM孕妇DOL的预防提供参考依据。方法从2016年3月—9月在南京市3所三级甲等医院产检的孕妇中,选取在孕期根据糖耐量筛查结果确诊为GDM的孕妇275例作为GDM组,选择糖耐量筛查结果正常的孕妇275例作为非GDM组,记录两组生产后自感泌乳启动时间,收集产后48~72 h内的乳汁检测乳糖浓度。采用χ2检验比较两组DOL的发生率,采用t检验比较两组乳糖浓度,采用Pearson相关分析分析乳汁中乳糖浓度与泌乳启动时间的相关性,采用非条件多因素Logistic回归分析GDM对DOL发生的影响。结果 GDM组DOL发生率高于非GDM组,GDM组产妇乳汁中乳糖浓度低于非GDM组,差异均具有统计学意义(均P0.05),产后48~72h内乳汁中乳糖浓度与泌乳启动时间呈负相关关系,初产和患GDM是DOL的危险因素。结论 GDM产妇泌乳启动时间迟于非GDM产妇,GDM产妇发生DOL的风险更高,应给予足够重视并采取预防措施。
[Abstract]:Objective to investigate the relationship between gestational diabetes mellitusus (GDM) and delayed onset of lactation initiation (Dole) in order to provide a reference for the prevention of DOL in pregnant women with GDM. Two hundred and seventy-five pregnant women diagnosed with GDM according to the results of glucose tolerance screening during pregnancy were selected as GDM group, and 275 pregnant women with normal glucose tolerance screening results were selected as non-#en2# group. The starting time of spontaneous lactation after birth was recorded in the two groups. The lactose concentration was detected in the milk of 48 hours postpartum. The incidence of DOL in the two groups was compared by 蠂 2 test, the lactose concentration in the two groups was compared by t test, and the correlation between the lactose concentration in milk and the start time of lactation was analyzed by Pearson correlation analysis. Results the incidence of DOL in the GDM group was higher than that in the non-#en5# group and the lactose concentration in the milk of the non-#en5# group was lower than that in the non-#en6# group. The difference was statistically significant (P 0.05). The lactose concentration in milk was negatively correlated with the lactation start-up time within 48 h postpartum, and there was a negative correlation between lactose concentration and lactation start-up time in 48 h postpartum. Conclusion the onset time of lactation of GDM parturient is higher than that of non-#en3# parturient and the risk of DOL is higher. Therefore, enough attention should be paid and preventive measures should be taken.
【作者单位】： 南京医科大学护理学院;南京医科大学附属妇产医院护理部;
【基金】：江苏省重点学科建设项目(苏教研[2012]2号)
【分类号】：R473.71
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