妊娠期糖尿病足月引产时机探讨  

Discussion of timing for term induced labor among pregnant women with gestational diabetes mellitus

作　　者：屠京慧[1] 于莎莎[1] 张丽[1] 

机构地区：[1]首都医科大学附属北京世纪坛医院,100038

出　　处：《中国妇幼保健》2014年第33期5408-5410,共3页Maternal and Child Health Care of China

摘　　要：目的：探讨不同引产时间对妊娠期糖尿病孕妇妊娠结局的影响。方法：对215例足月引产妊娠期糖尿病患者资料进行回顾性分析。结果：引产失败所致剖宫产比较：孕38~39＋6周引产孕妇（A组）66例引产失败所致剖宫产率分别与孕40~40＋6周（B组）91例及孕41~41周＋6（C组）5例比较均明显增高,差异有统计学意义（P〈0.05）。C组中妊娠期高血压、胎儿宫内窘迫、巨大儿、新生儿窒息的发生率均明显高于A组,差异有统计学意义（P〈0.05）。结论：对于妊娠期糖尿病引产时机的选择不应单纯根据孕周决定,而应综合分析孕妇情况、加强监测、制定个体化方案。完善的孕期管理,适时选择终止妊娠时机,有助于减少妊娠期糖尿病患者的母儿并发症的发生,对降低剖宫产率有着及其重要的意义。Objective： To explore the effects of different timing for induced labor on pregnancy outcome of preguant women with gestational diabetes mellitus （GDM） . Methods： The data of 215 pregnant women with GDM undergoing term induced labor were analyzed retrospectively. Results： The cesarean section rate caused by induced labor failure in group A （induced labor conducted at 38 - 39 ^＋6 gestational weeks, 66 cases） was statistically significantly higher than those in group B （induced labor conducted at 40 -40 ^＋6 gestationai weeks, 91 cases） and group C （ induced labor conducted at 41 - 41 ^＋6 gestational weeks, 5 cases） （ P 〈 0. 05） . The incidence rates of hypertensive disorder complicating pregnancy （HDCP） , fetal intrmlterine distress, macrosomia and neonatal asphyxia in group C were statistically significantly higher than those in group A （P 〈 0. 05） . Conclusion： Timing for induced labor should not be determined simply according to ges- tational weeks, maternal situations should be analyzed comprehensively, monitoring should be enhanced, and individualized programs should be formulated. Perfect gestational management and timely termination of pregnancy are helpful to reduce maternal and infantile complications, which have important significance in reducing cesarean section rate.

关 键 词：妊娠期糖尿病 足月 引产时机 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]