分娩镇痛在妊娠期糖尿病产程中的应用对母儿影响  

The Application of Labor Analgesia in the Labor Process of Gestational Diabetes on the Mother and Child

作　　者：祝丽娇 林鹏[1] ZHU Lijiao;LIN Peng(Department of Anesthesiology,Women and Children's Hospital Affiliated to Xiamen University,Xiamen Maternity and Child Health Hospital,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属妇女儿童医院(厦门市妇幼保健院)麻醉科,福建厦门361000

出　　处：《糖尿病新世界》2021年第6期30-32,共3页Diabetes New World Magazine

摘　　要：目的探讨妊娠期糖尿病产程中应用分娩镇痛对母婴的影响。方法选取2018年7月—2020年2月期间该院收治的72例妊娠期糖尿病产妇作为研究对象,以随机数字表法将72例糖尿病产妇进行分组,将其分为研究组(n=36)与对照组(n=36),对照组36例产妇采用常规镇痛分娩,研究组36例产妇采用腰麻-硬膜外联合阻滞麻醉分娩镇痛。将研究组产妇产程、产后出血量、产时血糖、糖皮质醇、新生儿脐血糖皮质醇、血糖值与对照组进行对比。结果研究组产妇活跃期产程比对照组产妇短,差异有统计学意义(P<0.05)。研究组产妇潜伏期、第二产程用时与对照组相比差异无统计学意义(P>0.05)。研究组产妇产后出血量低于对照组产妇,差异有统计学意义(P<0.05)。研究组产妇T1、T2、T3时血糖与T4时糖皮质醇比对照组产妇低,差异有统计学意义(P<0.05)。研究组新生儿脐血糖皮质醇与血糖值比对照组新生儿低,差异有统计学意义(P<0.05)。结论对妊娠期糖尿病产妇在产程中应用分娩镇痛效果较显著,可以有效控制产妇血糖,改善新生儿脐血糖皮质醇与血糖,确保母婴健康。Objective To investigate the effect of labor analgesia on mothers and infants in the labor process of gestational diabetes.Methods From July 2018 to February 2020,72 women with gestational diabetes in the hospital were selected as the research objects,and 72 diabetic women were divided into two groups by random number table method:the study group(n=36)and control group(n=36),36 parturients in the control group gare birth with conventional analgesia,and 36 parturients in the study group used spinal anesthesia-epidural combined block anesthesia for labor analgesia.Hourly blood glucose,corticosteroids,neonatal cord blood corticosteroids,and blood glucose levels were compared with those of the control group.Results The active period of labor in the study group was shorter than that in the control group,the difference was statistically significant(P<0.05).Compared with the control group,there was no significant difference between the incubation period and the second stage of labor in the study group(P>0.05).The postpartum hemorrhage of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).The blood glucose at T1,T2,T3 and the corticol at T4 in the study group were lower than those in the control group,the difference was statistically significant(P<0.05).The cord blood cortisol and blood glucose levels of neonates in the study group were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion The application of labor analgesia to pregnant women with diabetes during labor is more effective,which can effectively control maternal blood glucose,improve neonatal cord blood glucose and blood glucose,and ensure the health of mothers and babies.

关 键 词：分娩镇痛 妊娠期糖尿病 产程 母婴影响 

分 类 号：R587[医药卫生—内分泌]