摘要
目的:探讨不同时期终止妊娠对妊娠期糖尿病妊娠结局的影响。方法:对215例住院分娩的妊娠期糖尿病患者的临床资料进行回顾性分析,根据不同分娩时期分成3组,Ⅰ组妊娠28～36周末,Ⅱ组妊娠37～39周末,Ⅲ组妊娠≥40周。对3组母婴并发症进行统计分析,包括围生儿病率、围生儿死亡率、巨大儿、妊娠高血压病、剖宫产率、产后出血发生情况。结果:妊娠37～39周末终止妊娠母婴并发症发生率较低(P<0.05);37周后终止妊娠,巨大儿发生率明显增加(P<0.05);40周以后终止妊娠妊娠高血压病发生率明显高于其他组;血糖控制满意孕妇(128例)与不满意孕妇(87例)比较,有较好的妊娠结局。结论:①对于妊娠期糖尿病患者,血糖控制水平是决定终止妊娠时期的关键因素,严格控制血糖可改善妊娠结局。②妊娠37～39周末终止妊娠可以降低母婴的并发症。
Objective： To explore the effect of termination of pregnancy in different periods on pregnancy outcomes in gestational diabetes. Methods： Clinical data of 215 cases with gestational diabetes were analysed retrospectively, then the eases were divided into three groups according to termination opportunity of pregnancy ： 28 - 36 gestational weeks （ groupⅠ ）, 37 - 39 gestational weeks （ group Ⅱ ）, ≥ 40 gestational weeks （ group Ⅲ） . The incidences of maternal complications in three groups were analysed, including perinatal morbidity, prenatal mortality, macrosomia, hypertensive disorder complicating pregnancy, cesarean section, postpartum hemorrhage. Results： The inci- dence of maternal complications in group Ⅱ was lower than those in the other groups （ P 〈 0. 05 ） ; the incidence of macrosomia in group I was lower than those in the other groups （ P 〈 0. 05 ） ; the incidence of hypertensive disorder complicating pregnancy in group Ⅲ was higher than those in the other groups ; the pregnancy outcomes of women with well -eontrolled serum glucose were better. Conclusion： （1）For the pregnant women with gestational diabetes, the level of serum glucose is a key factor of pregnancy outcomes, well - controlled serum glucose will improve pregnancy outcomes. （2）Termination of pregnancy in 37 -39 gestational weeks can reduce the incidence of maternal complica tions.
出处
《中国妇幼保健》
CAS
北大核心
2009年第21期2939-2941,共3页
Maternal and Child Health Care of China
关键词
终止妊娠
妊娠期糖尿病
妊娠结局
Termination of pregnancy
Gestational diabetes
Pregnancy outcomes
