摘要
目的 :评估妊娠期糖尿病患者的危险因素,并且探讨该因素对母婴结果的影响。方法 :收集2013年1月~2014年9月本院收治的妊娠期糖尿病186例,设为研究组;收集同期在本院生产的健康产妇206例,设为对照组,并记录研究组和对照组患者的临床资料。结果 :研究组在分娩方式剖宫产、胎膜早破、产后出血、子痫前期、羊水过多、羊水过少、羊水污染、早产、胎盘早剥、妊娠期高血压病、酮症酸中毒、胎儿宫内窘迫的发生率高于对照组,差异有统计学意义;研究组在巨大儿、新生儿窒息、低体重儿、新生儿低血糖、新生儿肺炎、新生儿高胆红素血症、新生儿畸形的发生率高于对照组,差异有统计学意义。结论 :高龄、家族糖尿病史及孕前肥胖为妊娠期糖尿病患者的危险因素,并且对母婴结果有较大的危害。
Objective To investigate the risk factors of gestational diabetes mellitus, and explored their influences on maternal and neonatal outcomes. Methods 108 GDM women were investigated from January, 2013 to September, 2014 who deliveryed in our hospital, the establishment of experimental group. At the same time 206 without GDM women who were synchronization childbirth in our hospital used as control. The Clinical character of two group were studied. Results The experimental group of average age, family history with DM, Pre-pregnancy body mass index, and prenatal body mass index were significantly higher than the contrast group. The difference was statistically significant. The experimental group of delivery mode, premature rupture of membranes, maternal postnatal bleeding, preeclampsia, polyhydramnios, oligohydramnios, meconium, preterm, abruption, gestational hypertension, ketoacidosis, and fetal distress were significantly higher than the contrast group. The difference was statistically significant. The experimental group of great children, neonatal asphyxia, low birth weight children, neonatal hypoglycemia, neonatal pneumonia, neonatal hyperbilirubinemia,and birth defects were significantly higher than the contrast group. The difference was statistically significant. Conclusion The main influencing factors of GDM were age, family history of DM and obesity. And these factors had greater harm on maternal and neonatal outcomes.
出处
《湖南师范大学学报（医学版）》
2015年第4期101-103,共3页
Journal of Hunan Normal University(Medical Sciences)
关键词
妊娠期糖尿病
危险因素
母婴结局
临床研究
Gestational diabetes
Risk factors
Maternal and neonatal outcomes
Clinical research
