妊娠期糖尿病与母儿并发症的相关性

发布时间：2018-11-11 16:39

【摘要】：目的：妊娠期糖尿病与母儿并发症的相关性。方法：采用回顾性分析对新疆医科大学第一附属医院产科200例住院分娩的妊娠期糖尿病的产妇(病例组),并与同期非妊娠期糖尿病的200例(对照组)住院分娩产妇进行对照。两组孕妇年龄均为20-30岁,差异无统计意义(P0.05)。采用χ2检验分析妊娠期糖尿病对母儿并发症的相关性。结果：统计结果提示42例曾有先兆流产或保胎治疗史(P0.05),18例曾有早产流产史(P0.05),7例高血压(P0.05),13例胎膜早破(P0.05),6例产后出血(P0.05),20例胎儿窘迫(P0.05),17例新生儿窒息(P0.05),5例胎儿生长受限(P0.05),与非妊娠期糖尿病产妇比较无统计学意义。8例早产(P0.05),72例羊水过多(P0.05),32例巨大儿(P0.05),11例死胎死产(P0.05),11例胎儿畸形(P0.05),与非妊娠期糖尿病产妇比较均有统计学意义。结论：妊娠期糖尿病影响母婴预后,增加自然流产、巨大儿、羊水过多、新生儿窒息、胎儿畸形、死胎死产等妊娠合并症,加强对妊娠期糖尿病孕妇的管理,早期诊治,改善妊娠结局具有重要意义。
[Abstract]:Objective: to study the relationship between gestational diabetes mellitus and maternal and fetal complications. Methods: a retrospective analysis of 200 pregnant women (case group) with gestational diabetes complicating diabetes (GDM) in the first affiliated Hospital of Xinjiang Medical University and 200 cases (control group) of non-gestational diabetes mellitus in the same period were carried out. The age of pregnant women in the two groups was 20-30 years old, the difference was not statistically significant (P0.05). 蠂 2 test was used to analyze the correlation between gestational diabetes mellitus (GDM) and maternal and fetal complications. Results: the statistical results showed that 42 cases had a history of threatened abortion or fetal preservation (P0.05), 18 cases had a history of premature abortion (P0.05), 7 cases had hypertension (P0.05), 13 cases had premature rupture of membranes (P0.05). There were 6 cases of postpartum hemorrhage (P0.05), 20 cases of fetal distress (P0.05), 17 cases of neonatal asphyxia (P0.05), 5 cases of fetal growth restriction (P0.05). There was no significant difference between pregnant women and non-gestational diabetes women. There were 8 cases of premature delivery (P0.05), 72 cases of amniotic fluid excess (P0.05), 32 cases of macrosomia (P0.05), 11 cases of stillbirth (P0.05), 11 cases of fetal malformation (P0.05). There was statistical significance in comparison with non-pregnant women with diabetes mellitus. Conclusion: gestational diabetes mellitus affects the prognosis of mother and child, increases spontaneous abortion, macrosomia, amniotic fluid excess, neonatal asphyxia, fetal malformation, stillbirth and other pregnancy complications, and strengthens the management of pregnant women with gestational diabetes mellitus and early diagnosis and treatment. Improving the outcome of pregnancy is of great significance.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R714.256

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