妊娠糖尿病A1型孕妇的妊娠结局及对新生儿血糖的影响  

Pregnancy Outcome of Pregnant Women with Type A1 Gestational Diabetes Mellitus and Its Impact on Neonatal Blood Glucose

作　　者：宋建明 孔为民[2] Song Jianming;Kong Weimin(Department of Obstetrics and Gynecology,The First Hospital of Fangshan District,Beijing 102400,China;Department of Gynecology and Oncology,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100006,China)

机构地区：[1]北京市房山区第一医院妇产科,北京102400 [2]首都医科大学附属北京妇产医院妇科肿瘤科,北京100006

出　　处：《中国社区医师》2023年第13期56-58,共3页Chinese Community Doctors

摘　　要：目的:探讨妊娠糖尿病A1(GDM A1)型孕妇的妊娠结局及对新生儿血糖的影响。方法:选取2020年8月—2021年12月房山区第一医院收治的117例GDM A1型孕妇作为观察组,另选取同时期138例正常孕妇作为对照组,比较两组一般资料、妊娠不良结局发生情况、分娩方式,新生儿出生后低血糖发生情况。根据分娩方式的不同将255例孕妇分为手术分娩组和自然分娩组,比较两组新生儿低血糖发生情况。结果:观察组年龄大于对照组,孕期短于对照组,肥胖率高于对照组,差异有统计学意义(P<0.05);两组妊娠次数、分娩次数比较,差异无统计学意义(P>0.05)。两组胎膜早破、早产、妊娠高血压疾病、羊水过少、羊水过多、前置胎盘、羊水粪染、巨大儿、胎儿生长受限、胎儿窘迫发生率比较,差异无统计学意义(P>0.05)。观察组自然分娩率低于对照组,试产失败中转剖宫产术率、直接行剖宫产术率、试产失败率高于对照组,差异有统计学意义(P<0.05)。观察组和对照组新生儿低血糖发生率比较,差异无统计学意义(P>0.05)。手术分娩组新生儿低血糖发生率高于自然分娩组,差异有统计学意义(P=0.013)。结论:育龄女性需把握好妊娠年龄,控制好孕前体重,虽然GDM A1型疾病对孕妇妊娠不良结局发生影响较小,但会提升剖宫产率,而行剖宫产术分娩的患儿,其低血糖发生概率明显升高。因此,不可将GDM A1型孕妇等同于正常孕妇对待,需严格给予产检,监测、控制其血糖水平。Objective:To investigate the pregnancy outcome of pregnant women with type A1 gestational diabetes mellitus(GDM A1)and its impact on neonatal blood glucose.Methods:A total of 117 pregnant women with GDM A1 admitted to the First Hospital of Fangshan District from August 2020 to December 2021 were selected as the observation group,and 138 normal pregnant women during the same period were selected as the control group.The general information,occurrence of adverse pregnancy outcome,delivery mode,and occurrence of hypoglycemia of newborn at birth were compared between two groups.According to the delivery mode,255 pregnant women were divided into surgical delivery group and spontaneous delivery group,and the occurrence of neonatal hypoglycemia in the two groups was compared.Results:The age in the observation group was higher than that in the control group,the pregnancy duration in the observation group was shorter than that in the control group,the obesity rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the number of pregnancies and deliveries between the two groups(P>0.05).There was no significant difference in the incidence of premature rupture of membranes,preterm birth,gestational hypertensive disorders,oligohydramnios,polyhydramnios,placenta previa,meconium stained amniotic fluid,macrosomia,fetal growth restriction,and fetal distress between the two groups(P>0.05).The spontaneous delivery rate in the observation group was lower than that in the control group,and the rate of transferring to cesarean section after the failure of trial labor,direct cesarean section,and failure of trial labor in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of neonatal hypoglycemia between the observation group and the control group(P>0.05).The incidence of neonatal hypoglycemia in the

关 键 词：妊娠糖尿病 妊娠结局 并发症 新生儿 

分 类 号：R714.256[医药卫生—妇产科学]