妊娠期糖尿病患者分娩前血红蛋白、血小板、纤维蛋白原及D-二聚体定量对产后出血的影响  

Effect of Hemoglobin,Platelet,Fibrinogen and D-dimer Quantification before Delivery on Postpartum Hemorrhage in Patients with Gestational Diabetes Mellitus

作　　者：梅婷 王芳 MEI Ting;WANG Fang(Department of Obstetrics and Gynecology,Nanjing Jiangning Hospital of Traditional Chinese Medicine,Nanjing 211199,Jiangsu,China)

机构地区：[1]南京市江宁中医院妇产科,江苏南京211199

出　　处：《糖尿病新世界》2025年第4期24-27,共4页Diabetes New World

摘　　要：目的 探究妊娠期糖尿病患者分娩前血红蛋白(hemoglobin,Hb)、血小板(platelet,PLT)、维蛋白原(fibrinogen,Fib)、D-二聚体(D-dimer,D-D)定量对产后出血的影响。方法 回顾性选取2020年1月—2023年12月南京市江宁中医院妇产科收治的80例妊娠期糖尿病患者的临床资料,依据有无产后出血将40例妊娠期糖尿病产后出血患者纳入观察组,40例妊娠期糖尿病产后无出血患者纳入对照组。对两组患者一般资料和临床资料进行单因素分析和多因素Logistic回归分析,分析妊娠期糖尿病患者发生产后出血的影响因素。结果 两组年龄、Hb、PLT、Fib、D-D水平比较,差异均有统计学意义(P均<0.05);两组孕周、孕次指标比较,差异均无统计学意义(P均>0.05)。多因素Logistic回归分析结果显示,Hb、PLT、Fib、D-D是妊娠期糖尿病患者发生产后出血的影响因素(P均<0.05)。结论 Hb、PLT、Fib、D-D是妊娠期糖尿病患者发生产后出血的影响因素,妊娠期糖尿病患者分娩前检测以上指标对产后出血的预防有一定的临床应用价值。Objective To explore the effect of hemoglobin(Hb),platelet(PLT),fibrinogen(Fib) and D-dimer(D-D) quantification on postpartum hemorrhage in patients with gestational diabetes mellitus before delivery.Methods The clinical data of 80 patients with gestational diabetes mellitus admitted to the Department of Obstetrics and Gynecology of Nanjing Jiangning Hospital of Traditional Chinese Medicine from January 2020 to December 2023 were retrospectively selected.According to the presence or absence of postpartum hemorrhage,40 patients with gestational diabetes mellitus postpartum hemorrhage were included in the observation group,and 40 patients with gestational diabetes mellitus without postpartum hemorrhage were included in the control group.Univariate analysis and multivariate Logistic regression analysis were performed on the general data and clinical data of the two groups of patients to analyze the influencing factors of postpartum hemorrhage in patients with gestational diabetes mellitus.Results There were significant differences in age,Hb,PLT,Fib and D-D levels between the two groups(all P<0.05).There were no significant differences in gestational age and gestational times between the two groups(both P>0.05).Multivariate Logistic regression analysis showed that Hb,PLT,Fib and D-D were the influencing factors of postpartum hemorrhage in patients with gestational diabetes mellitus(all P<0.05).Conclusion Hb,PLT,Fib and D-D are the influencing factors of postpartum hemorrhage in patients with gestational diabetes mellitus.The detection of the above indicators before delivery in patients with gestational diabetes mellitus has certain clinical application value for the prevention of postpartum hemorrhage.

关 键 词：妊娠期糖尿病 血红蛋白 血小板 纤维蛋白原 D-二聚体 

分 类 号：R714.256[医药卫生—妇产科学]