妊娠期糖尿病孕妇终止妊娠时机的探讨  

Investigation on the opportunity of termination of pregnancy in women with gestational diabetes

作　　者：崔雪芳[1] 黄蓉华[1] 

机构地区：[1]广东医学院附属陈星海医院妇产科,广东中山528415

出　　处：《海南医学》2013年第15期2221-2223,共3页Hainan Medical Journal

基　　金：中山市科技计划项目(编号:20091A105)

摘　　要：目的探讨妊娠期糖尿病（Gestational diabetes, GDM））孕妇终止妊娠的最佳时机，为临床提供依据。方法匾颐性分析130例诊断为GDM并血糖控制满意的孕妇的母婴结局，根据不同分娩时期分成两组，A组孕39^1/7-41周70例，B组孕38-39周60例，以B组为对照组，比较两组孕妇的一般临床资料及母婴结局。结果两组孕妇年龄、身高、孕前体质指数、孕次和产次比较差异无统计学意义（P〉0．05）；A组的巨大儿、胎儿窘迫、新生儿高胆红素血症、妊娠期高血压的发生率均高于B组，差异有统计学意义（P〈0．05）；产后出血、新生儿低血糖的发生率两组比较，差异无统计学意义（P〉0．05）。结论对血糖控制满意的孕妇，选择于孕38-39周终止妊娠可以降低母婴并发症，进而取得良好的妊娠结局。Objective To investigate the best opportunity for termination of pregnancy in women with gesta- tional diabetes mellitus （GDM）. Methods The pregnancy outcomes of 130 women diagnosed as GDM with well-controlled serum glucose were retrospectively analyzed, then the subjects were divided into two groups according to termination opportunity： 39^1/7-41 gestational weeks （group A）, 38-39 gestational weeks （group B, the control group）. The general clinical data and outcomes were compared between the two groups. Results The maternal age,height, pre-pregnancy BMI, pregnancy and delivery times in two groups showed no statistically significant difference （P〉0.05）. The fetal macrosomia, fetal distress, neonatal hyperbilirubinemia, gestational hypertension of group A were significantly higher than those of group B （P〈0.05）. The postpartum hemorrhage, neonatal hypoglycemia showed no statistically significant difference between the two groups （P〉0.05）. Conclusion For women of GDM with well-con- trolled serum glucose, terminating pregnancy on 38-39 weeks can reduce the complications of mothers and infants and get a good pregnancy outcome.

关 键 词：妊娠期糖尿病 终止妊娠 时机 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]