糖尿病母亲婴儿临床分析回顾性研究

发布时间：2018-05-30 04:44

本文选题：妊娠期糖尿病 + 糖尿病母亲婴儿　；参考：《昆明医科大学》2017年硕士论文

【摘要】：目的:本研究拟分析糖尿病母亲婴儿的并发症,尤其是代谢和血液方面的早期并发症。方法:这是一项回顾性的研究。研究对象为2016年1月至2016年12月昆明医学院第一附属医院儿科收住的101例糖尿病母亲婴儿。对妊娠期糖尿病母亲婴儿出生后临床特点、血液学、代谢并发症及超声心动图检查结果进行分析。结果:1 .101例新生儿中,95例(94.05%)母亲患妊娠期糖尿病(GDM),而其余的6(5.95%)例患孕前糖尿病(PGDM)。43例新生儿(42.57%)为男性,58例(57.43%)为女性。44例新生儿(43.56%)经阴道分娩正常,39例(38.62%)剖宫产出生,产钳助产18例。44例(43.56%)婴儿出生体重在3-3. 49公斤,25例(24.75%)婴儿出生体重在2. 5-2. 99公斤:19例(18.81%)婴儿出生体重在3. 5-3. 99公斤;9例(8.91%)婴儿出生体重在2. 0-2. 49公斤;4例(3.97%)婴儿出生体重在4. 0-5.0公斤。2. 25例(24.75%)糖尿病母亲使用胰岛素治疗,76例(75.25%)为饮食控制或口服降糖药治疗,96%的母亲血糖控制良好。3.糖尿病母亲并发症的发生率分别为:高胆红素血症88. 11% ;低血糖症12. 85 % ;红细胞增多症8. 52% ;低钙血症53. 84%。4.糖尿病母亲婴儿心脏发育缺陷发生率分别为:PDA 43. 48 % ; VSD 26. 08%; ASD 13.04%; PPHN17.04%; PDA 占首位,其次为 VSD。结论:1.低血糖症及新生儿高胆红素血症仍是糖尿病母亲婴儿最常见的早期并发症。2.糖尿病母亲婴儿心脏发育缺陷中,PDA占首位,其次为ASD。
[Abstract]:Objective: to analyze the complications of diabetic mothers and infants, especially the early complications of metabolism and blood. Methods: this is a retrospective study. The subjects of the study were 101 infants with diabetes mellitus who were admitted to pediatrics of the first affiliated Hospital of Kunming Medical College from January 2016 to December 2016. The clinical features, hematology, metabolic complications and echocardiographic findings of infants with gestational diabetes mellitus (GDM) were analyzed. Results among the 101 newborns, 95 cases (94. 05) the mother had GDM, while the remaining 6 cases (5. 95) were diagnosed as pregestational diabetes mellitus (PGDMN) 43 cases (42.57 cases): 58 cases (57.43 cases) female. 44 cases of neonate 43.56) 39 cases of normal delivery via vagina (38.62%) were born by cesarean section. Forceps delivered 18 cases. 44 cases with 43.56) the birth weight of infants ranged from 3 to 3. The birth weight of the baby is 2. 5%. 5-2. The birth weight of the baby is 3. 8%. 5-3. The birth weight of the baby was 2. 9 kg. 0-2. The birth weight of the baby is 4. 7%. 0-5.0 kg. 2. 25 cases (24. 75) Diabetic mothers treated with insulin in 76 cases (75. 25) were treated with diet control or oral hypoglycemic drugs for 96% of the mothers with good blood glucose control. The incidences of complications in diabetic mothers were 88. 8% of hyperbilirubinemia. Hypoglycemia 12.1%. 85% polycythemia. Hypocalcemia 53. 2%. 84.4. The incidence of heart defects in infants of diabetic mothers was 43. VSD 26.1%. ASD 13.04; PDA 17.04; PDA first, followed by VSD. Conclusion 1. Hypoglycemia and neonatal hyperbilirubinemia are still the most common early complications in diabetic mothers and infants. In the heart defect of diabetic mothers, PDA was the first, and ASD was the second.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R722.1

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