分娩镇痛对妊娠期糖尿病初产妇产程和母婴结局的影响  

Effects of labor analgesia on labor process and maternal and neonatal outcomes in primipara with gestational diabetes mellitus

作　　者：黄春燕[1] 王丽[1] 张丽武[1] HUANG Chunyan;WANG Li;ZHANG Liwu(Department of Obstetrics,Nanxishan Hospital,Guangxi Zhuang Autonomous Region,Guilin,Guangxi,541002,China)

机构地区：[1]广西壮族自治区南溪山医院产科,广西桂林541002

出　　处：《当代医学》2022年第18期15-17,共3页Contemporary Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20191059)。

摘　　要：目的 探究分娩镇痛对妊娠期糖尿病初产妇产程和母婴结局的影响。方法 选取2019年1—12月本院收治的151例妊娠期糖尿病初产妇作为研究对象,按照是否进行分娩镇痛分为对照组(n=86)和观察组(n=65),对照组未接受分娩镇痛,观察组实施分娩镇痛。比较两组产程(第一、第二、第三产程及总产程)、血糖水平(产妇潜伏期、活跃期、分娩时及新生儿出生时)、分娩方式、缩宫素使用率、产后出血量及母婴结局(产后出血率,新生儿1 min Apgar评分、新生儿脐动脉血血气分析)。结果 两组第二产程、第三产程比较差异无统计学意义;观察组第一产程、总产程长于对照组,差异有统计学意义(P<0.05)。两组潜伏期、活跃期血糖比较差异无统计学意义;观察组第二产程末血糖低于对照组,差异有统计学意义(P<0.05)。两组分娩方式、缩宫素使用率及产后出血量比较差异无统计学意义。两组产后出血率、新生儿1 min Apgar评分、新生儿脐动脉血血气分析比较差异无统计学意义。结论 分娩镇痛应用于妊娠期糖尿病患者,能有效控制患者的血糖,且降低患者及新生儿的不良反应发生,值得临床推广应用。Objective To investigate the effect of labor analgesia on labor and maternal and infant outcomes in primipara with gestational diabetes mellitus.Methods 151 primiparas with gestational diabetes mellitus admitted to our hospital from January to December 2019 were selected as the research subjects,and they were divided into control group (n=86) and observation group (n=65) according to whether they received labor analgesia or not.The control group did not receive labor analgesia,while the observation group received labor analgesia.The stages of labor (first,second,third,and total stages of labor),blood glucose levels (maternal latent period,active period,delivery and newborn birth),mode of delivery,oxytocin usage rate,and postpartum hemorrhage and maternal and infant outcomes (postpartum hemorrhage rate,neonatal 1 min Apgar score,neonatal umbilical artery blood gas analysis) were compared between the two groups.Results There was no significant difference between the two groups in the second stage of labor and the third stage of labor;the first stage of labor and total labor stage in the observation group were longer than those in the control group,and the difference was statistically significant (P<0.05).There was no significant difference in blood glucose in the latent period and active period between the two groups;the blood glucose at the end of the second stage of labor in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05).There was no significant difference in the mode of delivery,oxytocin usage rate and postpartum hemorrhage volume between the two groups.There were no significant differences in postpartum hemorrhage rate,neonatal 1min Apgar score,and neonatal umbilical artery blood gas analysis between the two groups.Conclusion Labor analgesia applied to patients with gestational diabetes mellitus can effectively control the blood sugar of patients,and reduce the incidence of adverse reactions in patients and neonates,which is worthy of cli

关 键 词：妊娠期糖尿病 初产妇 分娩镇痛 产程 母婴结局 

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