论文部分内容阅读
目的:探讨妊娠期糖代谢异常孕妇的分娩时机和方式,以降低孕产妇和围产儿并发症。方法:对2006年8月至2008年7月中山大学附属第三医院产科住院分娩的302例糖代谢异常患者的临床资料进行回顾性分析。结果:孕周<37周组和>40周组孕妇的胎儿窘迫、剖宫产、新生儿窒息、新生儿高胆红素血症的发生率均高于37～40孕周组(P<0.05);剖宫产与阴道分娩组产后出血、新生儿窒息、新生儿黄疸的发生率均无统计学意义(P>0.05),但剖宫产组中孕妇血糖未控制、子痫前期、胎儿窘迫、巨大儿所占的比例高于阴道分娩组(P<0.05)。结论:妊娠期糖代谢异常孕妇分娩孕周以37～40周为宜;妊娠期糖代谢异常孕妇可阴道试产,但血糖未控制、并发子痫前期、巨大儿及出现胎儿窘迫时宜剖宫产终止妊娠。
Objective: To investigate the timing and mode of delivery in pregnant women with abnormal glucose metabolism to reduce the complications of pregnant women and perinatals. Methods: The clinical data of 302 patients with abnormal glucose metabolism who were admitted to obstetrics department of the Third Affiliated Hospital of Sun Yat-sen University from August 2006 to July 2008 were retrospectively analyzed. Results: The incidences of fetal distress, cesarean section, neonatal asphyxia and neonatal hyperbilirubinemia in gestational weeks <37 weeks and> 40 weeks were higher than those in 37 ~ 40 gestational weeks (P <0.05) ); Cesarean section and vaginal delivery group postpartum hemorrhage, neonatal asphyxia, neonatal jaundice incidence was not statistically significant (P> 0.05), but the cesarean section in pregnant women with uncontrolled blood glucose, preeclampsia, fetal distress , The proportion of giant children is higher than that of vaginal delivery group (P <0.05). Conclusion: Gestational glucose metabolism abnormalities pregnant women gestational weeks to 37 to 40 weeks is appropriate; Gestational abnormal glucose metabolism in pregnant women vaginal trial production, but not controlled by blood glucose, preeclampsia, macrosomia and fetal distress when cesarean termination of pregnancy .