摘要
目的探讨无痛分娩与妊娠期糖尿病患者产程进展、分娩方式、产后出血、新生儿Apgar评分、新生儿血糖的关系。方法比较2007-01-2009-07在广西医科大学第一附属医院实施无痛分娩的14例妊娠期糖尿病孕妇及未采用镇痛而自然分娩的33例妊娠期糖尿病孕妇。结果无痛分娩镇痛效果好。镇痛组的孕妇活跃期时间较未采用镇痛组延长,分娩镇痛增加了使用催产素的概率。两组孕妇第二、三产程的时间、剖宫产率、新生儿阿氏评分、新生儿低血糖发生率没有区别。结论良好镇痛分娩能有效缓解产妇的分娩疼痛,使产妇在产程中能安静休息,保持体力,缓解产妇精神紧张程度,以利于产程进展,是提高妊娠期糖尿病孕妇阴道试产比例的好方法。糖发生率。1.4统计学处理计量资料采用秩和检验、χ2检验和四格表确切概率法,计数资料采用t检验,结果以P<0.05为差异有统计学意义。2结果 2.1两组镇痛效果比较无痛分娩组孕妇的疼痛均在Ⅱ级以上,对照组只有2例为Ⅱ级,其余为Ⅲ级以上,无痛分娩组治疗效果优于对照组(U=5.000,P<0.05),见表1。两组均有1例呕吐,镇痛组有1例出现皮肤轻微搔痒,未做特殊处理,自愈。表1两组镇痛效果比较(n)组别例数Ⅰ级Ⅱ级Ⅲ级Ⅳ级无痛分娩组1410400对照组330221102.2两组产程时间、产程干预的比较在成功阴道分娩的孕妇中,分娩镇痛延长了活跃期的时间,增加催产素干预的比例(P<0.05)。两组在阴道分娩率,第二、三产程时间,产后出血的发生率的差异没有统计学意义(P>0.05),见表2。表2两组分娩方式、产程、产后出血比较组别例数分娩方式剖宫产(例)阴道分娩(例)阴道分娩活跃期(分)催产素干预(例)第二产程(分)催产素干预(例)第三产程(分)产后出血(例)无痛分娩组14212185.4±24.3850.0±17.177.8±2.10对照组33627153.9±20.9748.4±13.8138.0±2.11χ2/t值-0.0004.1384.2320.3160.345-0.2
Objective To investigate the relationship between painless labor and gestational diabetes,include progress of labor,delivery mode,postpartum hemorrhage,neonatal Apgar score and neonatal blood glucose.Methods 47 people were diagnosed as gestational diabetes mellitus（GDM）,whom choose vaginal delivered in the hospital with or without painless labor from January 2005 to July 2009.Results The effect of painless labor is good.Analgesia can prolonged active phase and increased the probability of the use of oxytocin.There is no difference in the time of second stage,third stage,cesarean section ration,neonate＇s Apgar score and hypoglycemia morbidity between these two groups.Conclusion Painless labor can relieve the pain of delivery,facilitate the progress of labor,and that is a good way to increase the proportion of vaginal delivered in gestational diabetes patients.
出处
《慢性病学杂志》
2010年第7期582-584,共3页
Chronic Pathematology Journal
关键词
分娩
糖尿病
Parturition
Diabetes Mellitus
