妊娠期糖尿病孕中期及孕晚期干预对母婴结局的影响  

Effect of intervention in the second and third trimester of gestational diabetes mellitus on the outcome of mother and infant

作　　者：吴莎 刘柯伶[1] 付清枚 WU Sha;LIU Ke-ling;FU Qing-mei(Department of Obstetrics,Bao′an District People′s Hospital of Shenzhen City,Guangdong Province,Shenzhen518101,China)

机构地区：[1]深圳市宝安区人民医院产科,广东深圳518101

出　　处：《中国当代医药》2020年第15期136-138,共3页China Modern Medicine

基　　金：广东省深圳市宝安区医疗卫生基础研究项目(2018JD189)。

摘　　要：目的探讨妊娠期糖尿病(GDM)孕中期及孕晚期干预对母婴结局的影响。方法选取2017年7月1日~2019年6月1日我院收治600例妊娠期糖尿病患者,依据孕龄分组,孕中期组(28~32周,300例)及孕晚期组(>32周,300例),均采取针对性的干预措施并对患者进行随访至生产。对比两组患者干预期间并发症发生情况、新生儿并发症、新生儿Apgar评分、分娩方式。结果孕中期组患者干预期间并发症总发生率为14.00%,低于孕晚期组患者的41.00%,孕中期组新生儿并发症总发生率为3.33%,转科率为5.00%,低于孕晚期组的23.00%、20.00%,且孕中期组新生儿Apgar评分高于孕晚期,孕中期组患者自然分娩率为60.00%,高于孕晚期组的33.00%,差异均有统计学意义(P<0.001)。结论在妊娠期糖尿病患者中,孕中期开展健康教育、饮食、用药等干预措施,较孕晚期开展患者,可明显减少干预后并发症,改善母婴结局,提升自然分娩率与新生儿Apgar评分,减少新生儿转科率,效果理想。Objective To explore the effect of intervention in the second and third trimester of gestational diabetes mellitus(GDM)on the outcome of mother and infant.Methods From July 1,2017 to June 1,2019,600 patients with gestational diabetes were enrolled in our hospital.According to the gestational group,the second trimester group(28-32 weeks,300 cases)and the third trimester group(>32 weeks,300 cases)took targeted interventions and followed up the patients to production.The complications,neonatal complications,Apgar score and delivery mode were compared between the two groups.Results The total incidence of complications in the intervention period of patients in the second trimester group was 14.00%,lower than 41.00%in the third trimester group,the total incidence of neonatal complications in the second trimester group was 3.33%,the conversion rate was 5.00%,lower than 23.00%and 20.00%in the third trimester group,and the Apgar score of newborns in the second trimester group was higher than that in the third trimester group,the natural delivery rate of patients in the second trimester group was 60.00%,higher than that in the third trimester group,the differences were statistically significant(P<0.001).Conclusion Health education,diet,medication and other interventions in the second trimester of pregnancy can significantly reduce the complications after intervention,improve the outcome of mother and infant,improve the natural delivery rate and Apgar score of newborn,and reduce the rate of neonatal transfer.The effect is ideal.

关 键 词：妊娠期糖尿病 孕中期 孕晚期 母婴结局 

分 类 号：R714.256[医药卫生—妇产科学]