非妊娠期糖尿病巨大儿临床剖析.docVIP

非妊娠期糖尿病巨大儿临床剖析 　　[摘要] 目的 探讨非妊娠期糖尿病巨大儿的临床特征及相关因素分析。 方法 整群选择2012年6月―2014年6月在该院出生的非妊娠期糖尿病巨大儿和母亲270例，随机选择同期分娩的270例正常体重儿或母亲回顾性对照分析。 结果 非妊娠期糖尿病巨大儿平均胎龄、BPD、FL、AC、身长、体重分别为280.90 d、9.73 cm、7.41 cm、35.61 cm、51.55 cm 、4170 g，明显高于对照组的270 d、9.38 cm、7.09 cm、32.60 cm、48.20 cm、3580 g，巨大儿组男性180例，多于对照组的119例；巨大儿母亲的孕期体重增长17.86 kg，高于对照组的15.63 kg；巨大儿组产程进展及枕位异常100例、产后出血68例、剖宫产127例，而对照组分别为38例、22例及47例。 结论 非妊娠期糖尿病巨大儿以男性居多，其发生与母亲孕期体重增长、宫高、腹围因素有关，并导致母亲分娩过程中产程进展异常发生率、产后出血率、剖宫产率显著增加，积极预防非糖尿病巨大儿的发生是提高产科质量的重要措施。 　　[关键词] 巨大儿；非妊娠期糖尿病；宫高；腹围 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-0742（2015）05（b）-0043-02 　　Clinical Anlysis of Non-gestational Diabetes Macrosomia 　　FENG Xiu-min 　　Department of Gynecology and ObStetrics， Tieying Hospital of Fengtai District， Beijing， 100079 China 　　[Abstract] Objective In this paper，the clinical characteristics and related factors of non-gestational diabetes macrosomia was explored. Methods 270 cases of non-gestational diabetes macrosomia（or mother） born during June 2012 -June 2014 were compared with 270 cases with normal-birth-weight newborn randomly selected in the same period for the retrospective case-control study in our hospital. Results The average gestational age， BPD， FL， AC， body length， body weight were 280.90 days， 9.73 cm， 7.41 cm， 35.61 cm， 51.55 cm， 4170 grams， apparently higher than 270 days， 9.38 cm， 7.09 cm， 32.60 cm， 48.20 cm， 3580 grams of the control group respectively；there were 180 cases of male in macrosomia group， more than the 119 cases in the control group. The mothers pregnancy weight gain was 17.86 kilograms， which was more than 15.63 kilograms of the control group. There were 100 cases labor progress and pillow abnormalities ，68 cases postpartum hemorrhage ， 127 cases cesarean section in macrosomia group，while in the control group there were 38 cases， 22 cases and 47 cases respectively. Conclusion The male are in the majority in the non-gestational diabetes macrosomia， their incidences were related to their motherrs weight gain， uteri