引产时机对非药物治疗的妊娠期糖尿病妊娠结局的影响评价  

Evaluation of the Influence of the Timing of Labor Induction on the Preg nancy Outcome of Non-drug Treatment of Gestational Diabetes Mellitus

作　　者：李小龙 缪飞[2] LI Xiaolong;MIAO Fei(Department of Obstetrics,Longyan Second Hospital of Fujian Province,Longyan,Fujian Province,364000 China;Department of Obstetrics and Gynecology,Fuzhou First Hospital,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福建省龙岩第二医院产科,福建龙岩364000 [2]福州市第一医院妇产科,福建福州350000

出　　处：《中外医疗》2021年第31期25-28,共4页China & Foreign Medical Treatment

基　　金：福州市科技计划项目(2018-S-105-3)。

摘　　要：目的探讨引产时机的选择对于妊娠期糖尿病妊娠结局的影响。方法方便选取该院2018年9月—2020年6月期间收治的89例非药物治疗的妊娠期糖尿病患者作为研究对象,根据引产时机的不同,分为观察组(妊娠40~41周)45例和对照组(妊娠38~39周)44例,追踪随访至分娩后3 d,回顾性分析母婴孕产期的临床资料,对比两组产妇的妊娠结局。结果观察组和对照组产妇的引产成功率、软产道裂伤发生率、胎膜早破发生率,产后出血发生率(84.44%vs 90.91%,6.67%vs 2.27%,4.44%vs 2.27%,11.11%vs 4.55%)比较差异无统计学意义(χ^(2)=0.858、0.239、0.003、0.572,P>0.05)。新生儿出生体质量[(3413.25±115.28)g vs(3426.87±120.65)g]、1 min新生儿Apgar评分[(9.77±0.12)分vs(9.81±0.15)分]、5 min新生儿Apgar评分[(9.92±0.23)分vs(9.95±0.14)分]对比差异无统计学意义(t=0.545、1.391、0.741,P>0.05)。结论接受非药物治疗的妊娠期糖尿病产妇,选择妊娠38~39周或妊娠40~41周进行引产,对于妊娠结局并无显著的影响,均可以保障较高的引产成功率,减少不良妊娠结局的发生。在分娩过程中,应该结合妊娠期糖尿病产妇的时机情况,进行引产时机的选择。Objective To explore the influence of labor induction timing on pregnancy outcome of gestational diabetes mellitus.Methods The 89 non-drug-treated gestational diabetes patients admitted to the hospital from September 2018 to June 2020 were conveniently selected as the research objects.According to the timing of labor induction,45 cases were divided into observation group(40-41 weeks gestation)and 44 cases in control group(38-39 weeks gestation).Follow up to 3 d after delivery,retrospectively analyze the clinical data of mothers and babies during pregnancy and childbirth,and compare the pregnancy outcomes of the two groups of mothers.Results Observation group and control group maternal induction rate,incidence of soft birth canal laceration,incidence of premature rupture of membranes,incidence of postpartum hemorrhage(84.44%vs 90.91%,6.67%vs 2.27%,4.44%vs 2.27%,11.11%vs 4.55%),the difference was not statistically significant(χ^(2)=0.858,0.239,0.003,0.572,P>0.05).Newborn birth weight[(3413.25±115.28)g vs(3426.87±120.65)g],1 min newborn's Apgar score[(9.77±0.12)points vs(9.81±0.15)points],Apgar score of 5 min neonates[(9.92±0.23)points vs(9.95±0.14)points],there was no statistically significant difference(t=0.545,1.391,0.741,P>0.05).Conclusion For women with gestational diabetes who received non-drug treatment,the choice of 38 to 39 weeks of gestation or 40 to 41 weeks of gestation for induction of labor had no significant effect on the outcome of pregnancy,both can guarantee a higher success rate of labor induction and reduce the occurrence of adverse pregnancy outcomes.In the process of delivery,the timing of induction of labor should be selected based on the timing of women with gestational diabetes.

关 键 词：引产时机 非药物治疗 妊娠期糖尿病 妊娠结局 

分 类 号：R4[医药卫生—临床医学]