摘要
目的探讨妊娠期糖尿病产妇引产时机对非药物治疗妊娠结局的影响。方法选取2017年10月—2020年10月该院收治的非药物治疗的妊娠期糖尿病产妇350例,根据引产时机的差异,其中160例在孕39周引产(对照组),190例在孕40周引产(观察组),比较两组产妇引产方式、分娩方式、产后出血量、羊水过多/过少发生率与新生儿情况。结果相较于对照组,观察组地诺前列酮栓应用率明显更低,差异有统计学意义(P<0.05);两组缩宫素使用时间差异无统计学意义(P>0.05);相较于对照组,观察组引产成功率更高,但差异无统计学意义(P>0.05);两组产后24 h出血量、羊水过多/过少发生率、新生儿出生体质量、胎儿窘迫发生率、新生儿Apgar评分差异无统计学意义(P>0.05)。结论非药物治疗且血糖得到良好控制的妊娠期糖尿病产妇,孕40周引产并不会使不良妊娠结局增加,同时可减少地诺前列酮栓应用,使引产成功率提高。
Objective To explore the influence of the timing of induction of labor in pregnant women with gestational diabetes on the outcome of non-drug therapy.Methods 350 cases of non-drug treatment of gestational diabetes mellitus were selected from October 2017 to October 2020 in the hospital.According to the difference in the timing of labor induction,160 cases were induced at 39 weeks of gestation(control group),and 190 cases were pregnant induction of labor at 40 weeks(observation group),compared the two groups of mother methods of labor induction,delivery methods,postpartum hemorrhage,the incidence of hyperhydramnios/oligohydramnios,and the status of newborns.Results Compared with the control group,the application rate of dinoprostone suppositories in the observation group was significantly lower,and the difference was statistically significant(P<0.05);there was no statistically significant difference in the use time of oxytocin between the two groups(P>0.05).Compared with the control group,the observation group had a higher success rate of labor induction,but the difference was not statistically significant(P>0.05);the two groups had 24 h postpartum hemorrhage,the incidence of polyhydramnios/oligohydramnios,newborn birth weight,and fetal distress had no statistically significant difference in incidence and Apgar score of newborns(P>0.05).Conclusion Non-drug treatment and well-controlled blood glucose of pregnant women with diabetes mellitus,induction of labor at 40 weeks of gestation will not increase the adverse pregnancy outcome,and can reduce the application of dinoprostone suppository and increase the success rate of induction of labor.
作者
林珊
蔡丽萍
LIN Shan;CAI Liping(Department of Obstetrics and Gynecology,Sanming Integrated Traditional Chinese and Western Hospital,Sanming,Fujian Province,365001 China)
出处
《糖尿病新世界》
2021年第12期40-43,共4页
Diabetes New World Magazine
关键词
妊娠期糖尿病
引产时机
非药物治疗
妊娠结局
胎儿窘迫
引产成功率
Gestational diabetes
Timing of induction of labor
Non-drug treatment
Pregnancy outcome
Fetal distress
Success rate of induction of labor
