地塞米松促胎肺成熟对妊娠期糖尿病孕母及围产儿的影响.docVIP

地塞米松促胎肺成熟对妊娠期糖尿病孕母及围产儿的影响 　　[摘要] 目的 探讨地塞米松促胎肺成熟对妊娠期糖尿病孕母及围产儿的影响。方法 收集2013年7月―2015年1月该院诊断为妊娠期糖尿病的孕妇，妊娠期糖尿病通过葡萄糖耐量试验、空腹血糖证实。随机分为研究组和对照组，每组50人。研究组在分娩前接受地塞米松治疗，对照组不接受地塞米松治疗。对比①研究组和对照组孕次、产次。②研究组和对照组血糖控制不满意例数、胎儿窘迫、新生儿感染、新生儿低血糖的发生率。③研究组和对照组新生儿的体重和出生后即刻Apgar评分。 结果 ①研究组和对照组孕次、产次结果比较差异无统计学意义（P0.05）。②研究组和对照组血糖控制不满意例数结果比较差异无统计学意义（P0.05），研究组和对照组胎儿窘迫、新生儿感染、新生儿低血糖的发生率，结果比较差异有统计学意义（P0.05）。③研究组和对照组新生儿的体重和出生后即刻Apgar评分，结果比较差异有统计学意义（P0.05）。 结论 该次研究认为地塞米松能够促胎肺成熟，对减少胎儿窘迫、新生儿感染、新生儿低血糖的发生有积极的作用，对妊娠期糖尿病孕母及围产儿的影响。[关键词] 地塞米松；胎肺成熟；妊娠期；糖尿病；围产儿[中图分类号] R714 　　[文献标识码] A 　　[文章编号] 1672-4062（2016）03（a）-0025-03Effect of Dexamethasone on Gestational Diabetes Mellitus During PregnancyWEN Mei-zhuDepartment of Obstetrics and Gynecology，Dehua Hospital Affiliated to Huaqiao Unirersity （Dehua County Hospital），Dehua，Fujian Province，362500 China[Abstract] Objective To investigate the effect of dexamethasone on the maturation of fetal lung in the gestational diabetes mellitus， and the effect of the maternal and perinatal fetus. Methods We collected the pregnant women with gestational diabetes mellitus in our hospital from July 2013 to January， and confirmed by the glucose tolerance test and fasting blood glucose. Randomly divided into study group and control group， each group of 50 people. The study group received dexamethasone before delivery， and the control group was not treated with dexamethasone. In contrast ①study group and control group were pregnant times， production times. ②in the study group and control group， blood glucose control was not satisfied with the incidence of fetal distress， neonatal infection， neonatal hypoglycemia. ③in the study group and the control group， the newborns weight and the Apgar score immediately after birth. Results ①there was no difference between the pregnant and the control group （P0.05）. ②there was no difference in blood glucose control between the study group and the control group （P0.05）， and the incidence of fetal distress， neonatal infection and neonatal hypog