摘要
目的探讨不同临产方式对妊娠期糖尿病产妇分娩结局的影响。方法回顾性分析我院130例足月分娩的妊娠期糖尿病产妇的临床资料,按是否行择期引产干预分为观察组和对照组(剖宫产组和经阴道分娩组),每组各65例;记录两组产妇终止妊娠前的血糖水平,并对比两组分娩方式及剖宫产指征。结果 (1)观察组空腹血糖为(4.9±0.7)mmol/L、餐后2h血糖(6.1±0.5)mmol/L,显著低于对照组的(5.8±1.2)mmol/L、(7.1±1.3)mmol/L,差异具有统计学意义(P<0.05)。(2)观察组剖宫产比例为50.8%,显著低于对照组的67.7%,差异具有统计学意义(P<0.05)。(3)观察组因胎儿窘迫行剖宫产比例显著低于对照组,差异具有统计学意义(P<0.05);两组以头盆不称、宫缩乏力及产程停滞为指征的比较无显著差异(P>0.05)。结论择期引产干预有利于妊娠期糖尿病产妇控制血糖水平、降低胎儿窘迫症状及减少剖宫产比例。
Objective： To investigate the different effects on labor delivery outcome in gestational diabetes mellitus. Methods： The clinical data of 130 cases of gestational diabetes mellitus in our hospital were retrospectively analyzed. The patients were divided into observation group and control group with 65 cases in each group,and the two groups were compared. Results：（ 1） Fasting blood glucose（ 4. 9 ± 0. 7） and postprandial 2H blood glucose（ 6. 1 ± 0. 5） in the observation group were significantly lower than those in the control group（ 5. 8 ± 1. 2）,（ 7. 1 ± 1. 3）,and the difference was statistically significant（ P〈 0. 05）.（ 2） The proportion of cesarean section in observation group was 50. 8%,which was significantly lower than that of the control group（ 67. 7%）,and the difference was statistically significant（ P〈 0. 05）.（ 3） The cesarean ratio due to fetal distress was significantly lower in the observe group than that of the control group,and the difference was statistically significant（ P〈 0. 05）; two groups had no significant difference in the signs of head basin and uterine atony and arrested labor（ P〉 0. 05）. Conclusion： Elective induction of labor intervention is helpful to control blood glucose level,reduce the symptoms of fetal distress and the proportion of cesarean section,which is worthy of clinical application and promotion.
出处
《泰山医学院学报》
CAS
2016年第3期300-301,共2页
Journal of Taishan Medical College
关键词
择期引产
妊娠期糖尿病
分娩结局
elective induction of labor
gestational diabetes mellitus
delivery outcome
