探讨终止妊娠时机对妊娠期糖尿病妊娠结局的影响.docVIP

精品论文 参考文献 探讨终止妊娠时机对妊娠期糖尿病妊娠结局的影响 齐齐哈尔市甘南县人民医院 162100 【摘 要】目的 研究分析终止妊娠时间对妊娠期糖尿病患者妊娠结局的影响。方法 此次研究的对象是选择2011年9月～2013年9月502例GDM患者，将其临床资料进行回顾性分析，并将患者按终止妊娠时间分为A、B、C组，A组125例患者37～38周；B组255例患者38～40周；C组122例患者40周以后。比较三组GDM患者并发症发生率以及围生儿结局。结果 三组患者血糖控制良好，剖宫产率无明显差异（Pgt;0.05）。A、B组间妊娠期并发症比较无明显差异（Pgt;0.05），C组妊娠期高血压、羊水过多、胎儿窘迫发生率则显著性升高（Plt;0.05）。C组巨大儿发生率显著升高（Plt;0.05），三组患者FGR、NRDS、新生儿畸形、新生儿窒息、新生儿低血糖发生率方面无显著性差异。结论 妊娠期严格控制血糖可以改善GDM患者的妊娠结局，血糖控制良好的GDM患者选择在38～40周终止妊娠可以降低母婴并发症。 【关键词】妊娠期糖尿病；终止妊娠；妊娠结局 [Abstract] Objective To study the effect of termination of pregnancy on pregnancy outcome in patients with gestational diabetes mellitus. Methods in this study，the object is to choose a September 2011 to September 2013 502 cases of GDM patients，the clinical data were retrospectively analyzed and the patients according to the time of termination of pregnancy points a，B，C group，a group of 125 cases of patients with 37 ~ 38 weeks；group B of 255 cases of patients（38 to 40 weeks；C group of 122 patients，40 weeks later. The incidence of complications and perinatal outcomes in the three groups were compared between the groups. Results three groups of patients with good blood sugar control，no significant difference in the rate of cesarean section（Pgt;0.05）. There was no significant difference in the pregnancy complications between A and B group（Pgt;0.05）. The C group was significantly elevated in the pregnancy induced hypertension，amniotic fluid and fetal distress（Plt;0.05）. The incidence of C group was significantly higher（Plt;0.05），there was no significant difference in the incidence of FGR，NRDS，neonatal asphyxia，neonatal asphyxia and neonatal hypoglycemia among the three groups. Conclusion strict control of blood glucose during pregnancy can improve the pregnancy outcome in patients with GDM，and the control of blood glucose in patients with GDM can reduce maternal and neonatal complications during 38 to 40 weeks of termination of pregnancy. [Key words] gestational diabetes mellitus；termination of pr