HBsAg阳性孕妇合并妊娠期糖尿病的临床分析  

Clinical study of the gestational diabetes mellitus in pregnant Women with HBsAg-positive

作　　者：刘新[1] 胡冰梅[1] 陈志云[1] 

机构地区：[1]惠州市中心人民医院妇产科,广东省惠州516000

出　　处：《中国基层医药》2008年第2期220-221,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省惠州市科技计划项目（2007Y099）

摘　　要：目的探讨HBsAg阳性孕妇与妊娠期糖尿病的关系。方法对94例HBsAg阳性孕妇的临床资料进行回顾性分析，并随机选取同期119例正常孕妇作对照。比较两组妊娠期糖尿病的发生率及相关指标。结果HBsAg阳性组孕妇中确诊为妊娠期糖尿病32例（34．0％），对照组孕妇中确诊为妊娠期糖尿病为13例（10．9％），差异有统计学意义（P〈0．05）。HBsAg阳性组孕妇血小板减少、产后出血率与对照组相比，差异有统计学意义（P〈0．05）；剖宫产率、体重指数、巨大胎儿发生率与对照组相比，差异无统计学意义。结论HBsAg阳性孕妇妊娠期糖尿病、产后出血及血小板减少发生率明显高于正常孕妇。Objective To study the relationship between the pregnant women with HBsAg and the gestational diabetes mellkus. Methods Clinical data of 94 cases with pregnant women with HBsAg-positive in our hospital were analyzed retrospectively. 119 cases with pregnant women with HbsAg-negative were selected at random according to their personal preference and were compared. The prevalence rate of the gestational diabetes mellitus and its related factors were compared between the 2 groups. Results 32 cases were diagnosed the gestational diabetes mellitus in pregnant women with HBsAg-positive, according to 34.0 %, 13 cases were diagnosed the gestational diabetes mellitus in control group, according to 10.9 %. It was significant difference in 2 groups（ P〈0.05）. Compared with the control group, there were significant difference in the occurrence of thrombocytopenia, post partum hemorrhage（P 〈 0.05）. Compared with the control group, there were no significant changes in the ratio of cesarean section,BMI,occurrence of fetal macrosomia. Conclusion The prevalence rate of the gestational diabetes mellitus and post partum hemorrhage and thrombocytopenia in pregnant women with HBsAg-positive group was significantly higher than in the HBsAg-positive group.

关 键 词：糖尿病 妊娠 HBSAG 

分 类 号：R714.2[医药卫生—妇产科学]