摘要
目的探究不同引产时机对A1型妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇分娩方式及分娩结局的影响。方法回顾性选取2021年1月—2023年12月徐州市贾汪区人民医院收治的120例A1型GDM孕妇的临床资料,根据引产时机不同分为研究组(孕40周^(+))和对照组(孕39周^(+)),每组60例。比较两组的分娩方式及分娩结局。结果两组孕妇的侧切率、阴道助产率比较,差异无统计学意义(P均>0.05)。研究组剖宫产率、使用水囊率、使用缩宫素率均低于对照组,差异有统计学意义(P均<0.05)。两组出生10 min时新生儿评分、新生儿体重及产妇24 h出血量比较,差异无统计学意义(P均>0.05)。研究组出生1 min时新生儿评分为(9.97±0.03)分,高于对照组的(9.17±0.25)分,差异有统计学意义(t=24.611,P<0.05)。两组新生儿低血糖发生率比较,差异无统计学意义(P>0.05)。研究组新生儿窒息、胎儿窘迫、巨大儿、产后出血及产褥感染发生率均低于对照组,差异有统计学意义(P均<0.05)。结论相较于39周^(+)后进行引产,40周^(+)后引产能够改善A1型GDM孕妇的分娩方式及妊娠结局。
Objective To explore the effects of different induction time on delivery mode and delivery outcome of preg nant women with type A1 gestational diabetes mellitus(GDM).Methods The clinical data of 120 pregnant women with type A1 GDM admitted to Jiawang District People's Hospital of Xuzhou City from January 2021 to December 2023 were retrospectively analyzed.According to the timing of labor induction,they were divided into study group(40 weeks^(+) of pregnancy)and control group(39 weeks^(+) of pregnancy),with 60 cases in each group.The delivery mode and delivery outcome of the two groups were compared.Results There was no significant difference in the rate of lateral in cision and vaginal midwifery between the two groups(both P>0.05).The rate of cesarean section,the rate of using wa ter sac and the rate of using oxytocin in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in neonatal score at 10 min after birth,neonatal weight and 24-hour maternal blood loss between the two groups(all P>0.05).The neonatal score at 1 min af ter birth in the study group was(9.97±0.03)points,which was higher than(9.17±0.25)points in the control group,and the difference was statistically significant(t=24.611,P<0.05).There was no significant difference in the incidence of neonatal hypoglycemia between the two groups(P>0.05).The incidences of neonatal asphyxia,fetal distress,macroso mia,postpartum hemorrhage and puerperal infection in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Compared with induced labor after 39 weeks^(+),in duced labor after 40 weeks^(+) can improve the delivery mode and pregnancy outcome of pregnant women with type A1 GDM.
作者
胡美娟
郑秀芹
张琳
HU Meijuan;ZHENG Xiuqin;ZHANG Lin(Department of Obstetrics,Jiawang District People's Hospital of Xuzhou City,Xuzhou,Jiangsu,221011,China)
出处
《中外医疗》
2024年第31期76-79,共4页
China & Foreign Medical Treatment
