引产时机对妊娠期糖尿病产妇的临床价值  

The Clinical Value of Timing of Labor Induction for Pregnant Women with Gestational Diabetes Mellitus

作　　者：张腊月 胡仲任[1] ZHANG La-yue;HU Zhong-ren(Zhangzhou Hospital,Fujian Zhangzhou 363000)

机构地区：[1]漳州市医院,福建漳州363000

出　　处：《深圳中西医结合杂志》2021年第20期151-153,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探究引产时机对妊娠期糖尿病产妇的临床价值。方法:选取漳州市医院2018年1月至2020年4月期间收治的98例妊娠期糖尿病产妇,随机分为对照组和观察组,各49例。对照组在妊娠37 ~ 38周进行引产,观察组在妊娠39 ~ 40周进行引产,比较分析两组产妇的产后卧床时间、剖宫产率、新生儿评分(Apgar评分)以及并发症发生率。结果:两组产妇产后卧床时间比较,差异无统计学意义(P>0.05)。观察组产妇的剖宫产率为14.39 %,低于对照组的34.69 %,其新生儿Apgar评分则高于对照组,差异具有统计学意义(P<0.05)。观察组产妇的并发症总发生率为10.20 %,低于对照组的28.57 %,差异具有统计学意义(P<0.05)。结论:在妊娠期糖尿病产妇妊娠39 ~ 40周时引产成功率较高,有利于降低剖宫产率以及并发症发生率,提高新生儿评分,对母婴健康具有良好的效果。Objective To explore the clinical value of the timing of labor induction for pregnant women with gestational diabetes mellitus.Methods A total of 98 pregnant women with gestational diabetes mellitus admitted to Zhangzhou Hospital from January 2018 to April 2020 were randomly divided into control group and observation group,with 49 cases in each group.Induced labor was performed at 37 to 38 weeks of gestation in the control group and 39 to 40 weeks of gestation in the observation group.Postpartum bed time,cesarean section rate,neonatal score (Apgar score) and incidence of complications were compared and analyzed between the two groups.Results There was no significant difference in bed time between the two groups (P > 0.05).The rate of cesarean section in the observation group was 14.39 %,lower than 34.69 % in the control group,and Apgar score was higher than that in the control group,the difference was statistically significant (P < 0.05).The total incidence of maternal complications in the observation group was 10.20%,lower than 28.57% in the control group,and the difference was statistically significant (P < 0.05).Conclusion At 39 ~ 40 weeks of pregnancy,the success rate of induced labor is higher,which is beneficial to reduce the rate of cesarean section and the incidence of complications,improve the score of newborn,and has a good effect on maternal and infant health.

关 键 词：妊娠期糖尿病 引产时机 新生儿Apgar评分 剖宫产率 

分 类 号：R714.25[医药卫生—妇产科学]