妊娠期糖尿病与正常孕产妇阴道分娩不良结局对比分析  

Comparative Analysis of Adverse Outcomes of Vaginal Delivery between Gestational Diabetes and Normal Pregnant Women

作　　者：张成美[1] ZHANG Cheng-mei(Department of Obstetrics and Gynecology,Huimin County People's Hospital,Binzhou,Shandong Province,251700 China)

机构地区：[1]山东省滨州市惠民县人民医院妇产科,山东滨州251700

出　　处：《糖尿病新世界》2020年第17期18-20,共3页Diabetes New World Magazine

摘　　要：目的探讨妊娠期糖尿病孕产妇与正常孕产妇阴道分娩不良结局情况。方法纳入2018年6月—2019年6月来该院进行分娩的妊娠期糖尿病孕产妇50例作为实验组,在同时期选取50名正常孕产妇作为参照组。对参照组予以常规检查和相应指导,对实验组予以饮食干预、健康宣教等,改善血糖水平。计算两组患者的产程时间、产后24 h出血量、医疗费用、住院时间、助产情况、阴道分娩结局以及新生儿体重情况、不良结局以及血糖水平。结果相比于参照组,实验组孕产妇的产程时间、产后24 h出血量、医疗费用、住院时间、助产率、阴道壁裂伤率以及会阴I度裂伤率差异无统计学意义(P>0.05)。实验组患者的会阴2度裂伤率以及血糖水平相比于参照组较优,组间数据经比较差异有统计学意义(P<0.05);两组新生儿体重情况和不良结局经比较,差异无统计学意义(P>0.05)。结论对妊娠期糖尿病孕产妇予以饮食指导、健康宣教,明确妊娠终止条件,在相应条件下实施阴道分娩,控制母婴不良结局,妊娠期糖尿病孕产妇在满足以上条件下,实施阴道分娩,具有较高的安全性和可行性。Objective To explore the adverse outcomes of vaginal delivery in pregnant women with gestational diabetes and normal pregnant women.Methods 50 pregnant women with gestational diabetes who came to the hospital for delivery were included as the experimental group from June 2018 to June 2019,and 50 normal pregnant women were selected as the reference group during the same period.Routine inspections and corresponding instructions were given to the reference group,diet intervention,health education,etc.were given to the experimental group to improve blood glucose levels.Calculate the labor time,24 hours postpartum blood loss,medical expenses,length of hospitalization,midwifery status,vaginal delivery outcome,neonatal weight,adverse outcome,and blood glucose level of the two groups of patients.Results Compared with the reference group,there was no statistically significant difference in the labor time,24-hour postpartum bleeding,medical expenses,hospitalization time,midwifery rate,vaginal wall laceration rate,and perineal first degree laceration rate of the experimental group(P>0.05).The perineal second-degree laceration rate,and blood glucose level of the experimental group were better than those of the reference group.The data between the groups were statistically significantly different(P<0.05);the weight status and adverse outcomes of the two groups were compared.The difference was not statistically significant(P>0.05).Conclusion It is better to provide dietary guidance and health education for pregnant women with gestational diabetes,to clarify the conditions for termination of pregnancy,to implement vaginal delivery under corresponding conditions,and to control adverse maternal and infant outcomes.For women with gestational diabetes,vaginal delivery under the above conditions is implemented,it has more advantages,with high safety and feasibility.

关 键 词：妊娠期 糖尿病 孕产妇 阴道分娩 不良结局 

分 类 号：R714.256[医药卫生—妇产科学] R714.3[医药卫生—临床医学]