妊娠期糖尿病产妇分娩的新生儿发生低血糖的产科因素研究

发布时间：2018-08-15 14:41

【摘要】：目的探讨妊娠期糖尿病产妇在分娩中出现新生儿低血糖问题的影响因素,并为相应的预防和控制提供参考。方法本研究主要选取我院自2015年1月~12月收治的120例患有妊娠期糖尿病的产妇进行调查研究,所有产妇均为单胎,根据其分娩后新生儿是否存在低血糖问题进行分组,其中观察组为出现低血糖问题的新生儿共42例,对照组为未出现低血糖问题的新生儿共78例,分析对比两组产妇在各项临床资料上的差异性,主要涉及到的临床资料有产妇年龄、身高、产次、分娩方式、新生儿性别、是否早产、产妇血糖控制状况、新生儿体温、新生儿体重以及喂养规范性等。结果本研究表明,两组产妇在年龄、身高、产次、分娩方式以及新生儿性别方面,差异无统计学意义(P0.05),但是在血糖控制以及是否早产、新生儿体温、新生儿体重以及新生儿喂养方式上存在着明显差异有统计学意义(P0.05),而多因素逻辑回归也表明孕产妇血糖控制效果、是否早产、新生儿体温、新生儿体重以及喂养规范性是影响新生儿低血糖问题的重要因素。结论在产科护理工作中,针对妊娠期糖尿病产妇必须要引起足够的重视,尤其是对于新生儿低血糖问题的控制来说,必须要从产妇血糖控制、分娩周期控制、新生儿的各项护理规范性入手进行严格把关,尽可能降低新生儿出现低血糖问题的概率。
[Abstract]:Objective to investigate the influencing factors of neonatal hypoglycemia in pregnant women with diabetes mellitus (GDM) and to provide reference for prevention and control. Methods A total of 120 pregnant women with gestational diabetes mellitus (GDM) admitted to our hospital from January to December 2015 were investigated. There were 42 neonates with hypoglycemia in the observation group and 78 newborns without hypoglycemia in the control group. The differences of clinical data between the two groups were analyzed and compared. The main clinical data involved include age, height, birth time, delivery mode, sex of newborn, whether premature delivery, blood sugar control of parturient, temperature of newborn, weight of newborn and feeding standard. Results the results showed that there was no significant difference in age, height, delivery, delivery style and sex of newborn between the two groups (P0.05), but there was no significant difference between the two groups (P0.05), but in blood sugar control and whether premature delivery, neonatal body temperature, There were significant differences in neonatal body weight and feeding style (P0.05), and multivariate logistic regression also showed that maternal blood sugar control effect, whether premature delivery, neonatal temperature, Neonatal weight and feeding regulation are important factors affecting neonatal hypoglycemia. Conclusion in the obstetrical nursing work, we must pay enough attention to the pregnant women with gestational diabetes mellitus, especially for the control of neonatal hypoglycemia, we must control the blood sugar of the parturient and the control of the delivery period. In order to reduce the probability of hypoglycemia in neonates, the nursing standard of newborns should be strictly checked.
【作者单位】：德州市妇幼保健院;
【分类号】：R714.256

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