摘要
目的 探讨住院妊娠期糖尿病（GDM）患者的决策对妊娠结局的影响.方法 2007年1月～2009年7月在笔者所在医院检查确诊为GDM并在院分娩的孕妇共237例.按妊娠周数以及是否存在妊娠合并症或并发症分组,Ⅰ组160例,孕周小于38周入院待产的GDM孕妇,其中52例为血糖控制不理想（Ⅰa组）,108例为出现其它妊娠并发症（Ⅰb组） Ⅱ组77例,大于孕38周、血糖控制良好入院引产 Ⅲ组273例为同时段超预产期无产征入院引产的孕妇.比较三组孕妇对治疗方案的选择、妊娠结局.结果 Ⅰa、Ⅰb组孕妇对促胎肺成熟方案的选择,Ⅰ、Ⅱ、Ⅲ组孕妇对分娩方式的选择差异有统计学意义（P〈0.05） 两种促胎肺成熟方案对血糖影响有差异性（P〈0.05） GDM患者行剖宫产易发生产后出血,产褥感染（P〈0.05）.结论 GDM孕妇对疾病关注特点导致对治疗方案选择和妊娠结局的差异.
ObjectiVe To investigate the choice to the treatments among inpatient of gestation diabetes mellitus and the effect of these treatments to the outcome of childbirth. Methods Retrospect Ⅳ ely analysis 237 cases whom were diagnosed as gestational diabetes mellitus （GDM） delivered in the hospital from January 2007 to June 2009. All the GDM patients were divided into two groups. There is 160 patients in group I , which was composed with the patients whose gestational weeks less than 38 weeks and two subsets in group Ⅰ . 52 patients who can not control glucose level satisfactorily belonged to group Ⅰ a and 108 patients had the complication of pregnant belonged to group Ⅰ b. groupⅡ was composed with 77 patients whose glucose level satisfactorily controlled and the gestational weeks were over 38 weeks;As control, group Ⅲ was composed 273 patients who were the pregnant women did not del ely after the expect date childbirth during the sametime. It compared the choice to the treatments among these patients and outcome of childbirth among three groups. Results The difference is statistical significance between Ia and Ib GDM patients in choosing the treatment method to promote the maturity of the fetal lung. （ P 〈 0. 05 ）. Using dexamethasone to promote the maturity of the fetal lung with intramuscular injection would increase the blood glucose level obviously compare with amniotie cavity injection. （P 〈0.05）. The statistical significant exist among the three groups in choosing the way of dellVery（P 〈0. 05）. The 6DM patient who had the cesarean section would suffer the higher risk to have the postpartum hemorrhage and puerperal infection （ P 〈 0.05 ）. Conclusion Inpatient of GDM would choose different treatment based on the characteristic of their own disease, which would lead the different outcome of childbirth.
出处
《中外医学研究》
2010年第14期5-7,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
妊娠期糖尿病
妊娠并发症
妊娠结局
Gestational diabetes mellitus
Complication of gestation
Outcome of childbirth
