分娩镇痛对妊娠期糖尿病产妇产时内分泌情况及新生儿的影响  

The effect of giving birth and analgesia on gestational diabetes and gynecological endocrine and neonatal influence

作　　者：顾楠楠 Gu Nannan(Department of Obstetrics,Liaoning Maternal and Child Health Hospital,Shenyang 110005,China)

机构地区：[1]辽宁省妇幼保健院产科,辽宁沈阳110005

出　　处：《实用妇科内分泌电子杂志》2022年第14期21-24,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨分娩镇痛对妊娠糖尿病产妇实产时内分泌及新生儿的影响。方法选择76例分娩的单胎妊娠糖尿病产妇为研究对象,按照随机数字表法随机分为对照组和研究组,每组38例,对照组未实施分娩镇痛,研究组实施分娩镇痛,比较两组产妇产时内分泌以及新生儿血糖情况。结果两组产妇在潜伏期血糖水平比较,差异无统计学意义(P>0.05);研究组产妇在活跃期1 h(T_(1))、2h(T_(2))、3h(T_(3))血糖水平以及宫口全开时(T_(4))的皮质醇水平低于对照组,差异有统计学意义(P<0.05)。研究组新生儿血糖水平高于对照组、脐血皮质醇水平低于对照组,差异均有统计学意义(P<0.05)。研究组潜伏期、第二产程时间与对照组比较,差异无统计学意义(P>0.05)。研究组活跃期时间短于对照组,差异有统计学意义(P<0.05)。两组新生儿窒息发生率比较差异无统计学意义(P>0.05)。结论妊娠糖尿病产妇实施分娩镇痛效果理想,可改善产妇产时以及新生儿血糖水平、皮质醇水平,值得临床推广与应用。Objective To investigate the effect of labor analgesia on endocrine and neonates of pregnant women with gestational diabetes mellitus during labor.Methods Seventy-six pregnant women with singleton gestational diabetes who gave birth were selected as the research objects,and were randomly divided into the control group and the research group according to the random number table method,with 38 cases in each group.Maternal endocrine and neonatal blood glucose status during delivery in the two groups.Results There was no significant difference in blood glucose levels during the incubation period between the two groups of puerperae(P>0.05).The blood glucose level at 1 h(T_(1)),2 h(T_(2)),3 h(T_(3))and the cortisol level at full dilatation(T_(4))of the puerperae in the study group were lower than those in the control group,and the diferences were statistically significant(P<0.05).The neonatal blood glucose level in the study group was higher than that in the control group,and the cortisol level in the cord blood was lower than that in the control group,and the differences were statistically significant(P<0.05).Compared with the control group,the incubation period and the second stage of labor time in the study group showed no significant diference(P>0.05).The active period in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of neonatal asphyxia between the two groups(P>0.05).Conclusion The effect of labor analgesia for pregnant women with gestational diabetes is ideal,and it can improve the blood glucose level and cortisol level of the puerperium and neonate,which is worthy of clinical promotion and application.

关 键 词：妊娠糖尿病 产妇 分娩镇痛 产时内分泌 新生儿血糖 产程时间 

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