妊娠期糖尿病孕妇在预产期前后引产对母儿结局的影响

发布时间：2018-06-23 13:29

本文选题：妊娠期糖尿病 + 引产　；参考：《中山大学学报(医学科学版)》2017年01期

【摘要】：【目的】探讨血糖控制良好的妊娠期糖尿病预产期前后引产对母儿结局的影响。【方法】回顾性分析2014年3月-2016年3月我院分娩的238例血糖控制良好的妊娠期糖尿病病例。血糖控制良好的病例为仅需饮食控制、运动治疗、无需药物治疗。妊娠40周-40+6周引产为研究组120例,妊娠39周-39+6周引产为对照组118例。【结果】两组病例的剖宫产率无明显差异(49.2%vs.55.9%,P=0.528),产后出血发生率无显著差异(10.0%vs 14.4%,P=0.299);两组病例新生儿体质量无明显统计学差异[(3.26±0.33)kg vs(3.22±0.34)kg,P=0.448],胎儿宫内窘迫发生率、大于胎龄儿发生率、新生儿病理性黄疸发生率、新生儿低血糖的发生率等也无统计学差异(P0.05)。【结论】不需药物治疗、血糖控制良好、无并发症的妊娠期糖尿病患者孕40周前或后引产剖宫产率无增加,围产结局无差异,可根据具体情况预产期前或后引产。
[Abstract]:[objective] to investigate the effect of induced labor before and after gestational diabetes mellitus (GDM) with good blood glucose control on maternal and fetal outcomes. [methods] 238 cases of gestational diabetes mellitus (GDM) with good blood glucose control were analyzed retrospectively from March 2014 to March 2016 in our hospital. Patients with well-controlled blood glucose need only diet control, exercise therapy, and no medication. From 40 weeks to 46 weeks of gestation, 120 cases in the study group were induced labor. There was no significant difference in cesarean section rate between 39 weeks and 39 6 weeks of pregnancy between the two groups (49.2 vs 55.9 vs 0.528), there was no significant difference in the incidence of postpartum hemorrhage (10.0%vs 14.4P 0.299), there was no significant difference in the body mass of newborns between the two groups [(3.26 卤0.33) kg vs (3.22 卤0.34) KP0.448], and there was no significant difference in the incidence of postpartum hemorrhage between the two groups [(3.26 卤0.33) kg vs (3.22 卤0.34) KP0.448]. Incidence of intrauterine distress, There was no significant difference in incidence of neonatal pathological jaundice, incidence of neonatal hypoglycemia and so on (P0.05). [conclusion] there was no need for drug treatment, and blood sugar was well controlled. There was no increase in cesarean section rate before or after 40 weeks of gestational diabetes mellitus without complications, and there was no difference in perinatal outcome.
【作者单位】：中山大学附属第一医院妇产科;
【基金】：中山大学5010计划项目(2012004)
【分类号】：R714.256

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