妊娠合并糖尿病的围产期监护  

Perinatal monitor of diabetes millitus in pregnancy.

作　　者：陈韵仙[1] 李乃珺 

机构地区：[1]天津医学院附属医院妇产科,300052

出　　处：《中国实用妇科与产科杂志》1993年第5期283-284,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：1986年1月至1992年11月期间该院孕产妇中有妊娠合并糖尿病者107例(10.13‰),包括妊娠期糖尿病37例,White分类B～D级70例,平均年龄31岁,初产妇比经产妇为1.23:1,有不良孕产史者占43％,1/3患者并发妊高征,大于孕龄儿占39.25％,胎儿畸形3例(2.8％),剖宫产率82.24％,产母因并发症死亡1例(9.35‰),宫内死胎7例(65.42‰)。本文认为加强孕妇管理是降低母儿并发症和围产儿死亡之关键。There were 107 cases of pregnant women complicated with diabetes millitus in our hospital from Jan. 1986 to Nov. 1992, including 37 cases who suffered from gestational diabetes millitus (GDM) and 70 cases who were the B to D groups accorditng to the white classification. The average age was 31 year old, The ratio 6 letween primipara and multipara was 1.23/1. In these cases previous unexplained 'stillbirth and neonatal death occupied 43%, macrosomia was 39.25%, EPH syndrome was 1/3, monstrosity was 2.8%, cesarean cection ratio was 82.2% ,one of these died of complication,intrauterine death occured in 7 cases (65.42%). Our study suggested that to strengthen the management of pregnant women was the key to lower the maternal and fetal complications and to reduce the perinatal death.

关 键 词：糖尿病 围产期监护 妊娠 

分 类 号：R714.256[医药卫生—妇产科学]