妊娠期糖尿病孕妇早产及足月分娩的临床特征差异以及妊娠期糖尿病孕妇早产危险因素分析

发布时间：2018-05-21 10:11

本文选题：妊娠期糖尿病 + 早产　；参考：《临床检验杂志(电子版)》2016年03期

【摘要】：目的探讨并分析妊娠期糖尿病孕妇早产及足月分娩的临床特征差异,并总结妊娠期糖尿病孕妇早产的危险因素。方法选取我院2014年1月-2015年12月间收治的100例妊娠期糖尿病孕妇作为本次研究对象,按照分娩结局分为早产组与足月分娩组,各50例。观察两组孕妇的临床特征,探讨妊娠期孕妇早产的危险因素。结果早产组孕妇的收缩压、产次、双胎或多胎高于足月分娩组(P0.05);早产组患者的糖化血红蛋白和24h尿蛋白定量水平明显较高(P0.05);早产组患者的子痫前期、前置胎盘、胎膜早破、胎盘早剥和胎儿窘迫高于足月分娩组(P0.05),组间差异均有统计学意义。结论妊娠期糖尿病孕妇早产危险因素有子痫前期、胎盘前置、胎膜早破、胎盘早剥和胎儿窘迫,做好各种危险因素的防护对分娩结局有重要作用。
[Abstract]:Objective to explore and analyze the clinical characteristics of preterm delivery and term delivery of gestational diabetes mellitus (GDM) and to summarize the risk factors of preterm delivery of gestational diabetes mellitus (GDM). Methods 100 pregnant women with gestational diabetes mellitus admitted in our hospital from January 2014 to December 2015 were divided into preterm delivery group and full-term delivery group 50 cases each. To observe the clinical characteristics of two groups of pregnant women and to explore the risk factors of preterm delivery of pregnant women. Results the systolic blood pressure (SBP), parturition time, twin or multiple pregnancy were higher than those in term delivery group (P 0.05), the levels of glycosylated hemoglobin and 24 hours urine protein in preterm delivery group were significantly higher than those in preterm delivery group (P 0.05), preeclampsia, premature rupture of placenta previa and premature rupture of fetal membrane were observed in preterm delivery group. Placental abruption and fetal distress were significantly higher than that in term delivery group (P 0.05). Conclusion the risk factors of preterm delivery in pregnant women with gestational diabetes mellitus are preeclampsia, placenta previa, premature rupture of membranes, placental abruption and fetal distress.
【作者单位】：晋江市妇幼保健院;
【分类号】：R714.256

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