| 缪嘉燕 赵亭亭 方 敏 王瑞东 李 霞.妊娠期糖尿病与妊娠结局的临床分析[J].,2014,14(6):1121-1123 |
| 妊娠期糖尿病与妊娠结局的临床分析 |
| Clinical Analysis of Gestational Diabetes and Pregnancy Outcome |
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| DOI： |
| 中文关键词: 妊娠期糖尿病 妊娠结局 并发症 |
| 英文关键词: Gestational diabetes Pregnant outcome Complications |
| 基金项目: |
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| 中文摘要: |
| 摘要 目的： 探讨妊娠期糖尿病(GDM)对孕妇妊娠结局和胎儿健康的影响。方法： 回顾性分析 2009 年 8 月～ 2012 年 12 月在我院
分娩的 184 例 GDM 患者及 200 例健康孕妇的临床资料，并对两组孕妇的妊娠结局进行比较。结果： GDM 组妊高症 35 例
(19.0%)、 羊水过多 17 例(9.2%)、 早产 21 例(11.4%)、产后出血 14 例(7.6%)、产褥感染 12 例(6.5%)， 发生率均显著高于对照组(P<0.
05)； GDM 组中发生巨大儿 48 例(26.1%)、 新生儿低血糖 31 例(16.8%)， 与对照组比较均显著增高(P＜ 0.05)，而胎儿宫内窘迫的发
生率(3.3%)也较对照组升高， 但差异无统计学意义(P＞ 0.05)； GDM 组剖宫产 141 例(76.6%)， 阴道产 43 例(23.4%)， 剖宫产比例较
对照组显著升高(P<0.05)。结论： GDM 对孕妇的妊娠结局有不利影响， 孕妇应加强孕期保健， 规范治疗妊娠期糖尿病， 减少各种并
发症的发生。 |
| 英文摘要: |
| ABSTRACT Objective:To study the influence of gestational diabetes mellitus (GDM) on the outcome of gravida and fetal health.
Methods:The clinical data of 184 cases of GDM patients and 200 cases of healthy gravida were retrospectively analyzed, the pregnancy
outcome of two groups was compared.Results: In GDM group, 35 cases of pregnant period hypertensive disorders (19%), 17 cases of
polyhydramnios(9.2%), 21 cases of premature delivery(11.4%), 14 cases of postpartum hemorrhage (7.6%), 12 cases of puerperal infection(6.5%) were found, which were all significantly higher than those in the control group(P<0.05); 48 cases of macrosomia (26.1%), 31
cases of neonatal hypoglycemia (16.8%) were all significantly higher than those in the control group (P<0.05), and fetal distress rate
(3.3%) was higher than that of the control group, but there was no significant difference between two groups (P>0.05). In GDM group,
141 cases of cesarean section (76.6%), 43 cases of vaginal delivery (23.4%), and the rate of cesarean section were all significantly increased compared with the control group (P<0.05).Conclusion: GDM had adverse effects on the outcome of pregnancy, gravida should
strengthen the health care during pregnancy, and accept the standard treatment of gestational diabetes mellitus, decrease the complications. |
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