中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2015年
6期
524-526
,共3页
择期引产%妊娠期糖尿病%分娩结局
擇期引產%妊娠期糖尿病%分娩結跼
택기인산%임신기당뇨병%분면결국
Selective induced labor%Gestational diabetes%Delivery outcome
目的：对比分析择期引产干预与自然临产对妊娠期糖尿病孕（产）妇分娩方式及分娩结局的影响。方法对足月分娩的妊娠期糖尿病孕（产）妇422例临床资料进行回顾性分析。择期引产组231例，自然临产组191例。对比两组孕（产）妇终止妊娠前血糖值、分娩方式及围生儿并发症。结果择期引产组血糖控制满意率为88.7％，显著高于自然临产组的74.3％；空腹血糖为（5.1±0.8）mmol／L，餐后2 h血糖为（6.3±0.6）mmol／L，分别低于自然临产组的（5.7±1.0）mmol／L和（6.8±1.2）mmol／L。两组比较差异均有统计学意义（P＜0.01）。择期引产组剖宫产率为59.7％，自然临产组为58.6％，组间差异无统计学意义（P＞0.05）。然而前者以胎儿窘迫为剖宫产指征者比例显著低于后者，以患者自身要求行剖宫产者比例显著高于后者（P＜0.01）。择期引产组围生儿并发症发生率为6.5％，显著低于自然临产组的22.5％（ P＜0.01）。结论择期引产干预有助于稳定孕（产）妇血糖，但对降低剖宫产率无明显作用，但可有效降低胎儿窘迫所致剖宫产率，有助于减少围生儿并发症，值得推广。
目的：對比分析擇期引產榦預與自然臨產對妊娠期糖尿病孕（產）婦分娩方式及分娩結跼的影響。方法對足月分娩的妊娠期糖尿病孕（產）婦422例臨床資料進行迴顧性分析。擇期引產組231例，自然臨產組191例。對比兩組孕（產）婦終止妊娠前血糖值、分娩方式及圍生兒併髮癥。結果擇期引產組血糖控製滿意率為88.7％，顯著高于自然臨產組的74.3％；空腹血糖為（5.1±0.8）mmol／L，餐後2 h血糖為（6.3±0.6）mmol／L，分彆低于自然臨產組的（5.7±1.0）mmol／L和（6.8±1.2）mmol／L。兩組比較差異均有統計學意義（P＜0.01）。擇期引產組剖宮產率為59.7％，自然臨產組為58.6％，組間差異無統計學意義（P＞0.05）。然而前者以胎兒窘迫為剖宮產指徵者比例顯著低于後者，以患者自身要求行剖宮產者比例顯著高于後者（P＜0.01）。擇期引產組圍生兒併髮癥髮生率為6.5％，顯著低于自然臨產組的22.5％（ P＜0.01）。結論擇期引產榦預有助于穩定孕（產）婦血糖，但對降低剖宮產率無明顯作用，但可有效降低胎兒窘迫所緻剖宮產率，有助于減少圍生兒併髮癥，值得推廣。
목적：대비분석택기인산간예여자연임산대임신기당뇨병잉（산）부분면방식급분면결국적영향。방법대족월분면적임신기당뇨병잉（산）부422례림상자료진행회고성분석。택기인산조231례，자연임산조191례。대비량조잉（산）부종지임신전혈당치、분면방식급위생인병발증。결과택기인산조혈당공제만의솔위88.7％，현저고우자연임산조적74.3％；공복혈당위（5.1±0.8）mmol／L，찬후2 h혈당위（6.3±0.6）mmol／L，분별저우자연임산조적（5.7±1.0）mmol／L화（6.8±1.2）mmol／L。량조비교차이균유통계학의의（P＜0.01）。택기인산조부궁산솔위59.7％，자연임산조위58.6％，조간차이무통계학의의（P＞0.05）。연이전자이태인군박위부궁산지정자비례현저저우후자，이환자자신요구행부궁산자비례현저고우후자（P＜0.01）。택기인산조위생인병발증발생솔위6.5％，현저저우자연임산조적22.5％（ P＜0.01）。결론택기인산간예유조우은정잉（산）부혈당，단대강저부궁산솔무명현작용，단가유효강저태인군박소치부궁산솔，유조우감소위생인병발증，치득추엄。
Objective To comparatively analyze the induced labor intervention and natural labor for gesta-tional diabetes pregnant childbirth way and the birth outcomes.Methods 422 cases of the term delivery of women with gestational diabetes mellitus were retrospectively analyzed, with 231 cases in the induced labor group and 191 cases in the natural labor group.Maternal blood glucose value before termination of pregnancy, childbirth way and the perinatal complications were compared between the two groups.Results Satisfaction rate of blood sugar control in the induced labor group was significantly higher than that in the natural birth group(88.7%vs 74.3%) .Fasting blood-glucose and 2-hour postprandial blood glucose were significantly lower in the induced labor group than those in the natural labor group[(5.1 ±0.8) vs (5.7 ±1.0)mmol/L and (6.3 ±0.6) vs (6.8 ±1.2)mmol/L].These differ-ences were statistically significant ( P<0.01 ) .Cesarean section rate was 59.7% in the induced labor group and 58.6%in the natural labor group.There was no significant difference between the two groups( P>0.05) .However, the ratio of the former with fetal distress for cesarean section indications was significantly lower in the induced labor group than that in the natural labor group.The patients′own requirements for indications were significantly higher in the induced labor group than those in the natural labor group(P<0.01).The incidence of perinatal complications of the selective induced labor group was significantly lower than that of the natural labor group (6.5%vs 22.5%, P<0.01).Conclusion Selective induction of intervention can help stabilize the maternal blood glucose level and effec-tively reduce the rate of fetal distress to cesarean section,but has no obvious effect on reducing the rate of cesarean section.
