糖尿病孕妇择期分娩前行羊水泡沫试验的临床价值探讨

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目的:探讨妊娠期糖尿病(GDM)孕妇择期终止妊娠前不做羊水泡沫试验测定胎肺成熟度是否会增加新生儿呼吸窘迫综合征(NRDS)的发生率。方法:对52例GDM孕妇于妊娠36~40周在终止妊娠前行羊膜腔穿刺术抽取羊水行羊水泡沫试验,确定胎肺成熟后终止妊娠。64例孕龄准确的孕足月(孕龄>37周)的GDM孕妇作为非穿刺组,在终止妊娠前不予测定胎肺成熟度,比较两组的妊娠结局和NRDS的发生率。结果:两组孕妇的孕周、体重指数(BM I)、剖宫产率及产后出血、羊水过多的发生率无明显差异;两组巨大胎儿、足月低体重儿、新生儿低血糖、新生儿窒息和NRDS的发生率差异无统计学意义。结论:孕龄准确的GDM孕妇妊娠足月后在择期终止妊娠前不需常规行羊膜腔穿刺术做胎肺成熟度的测定。 Objective: To investigate whether gestational diabetes mellitus (GDM) before pregnancy termination of pregnancy without amniotic fluid foam test to determine whether fetal lung maturity will increase neonatal respiratory distress syndrome (NRDS) incidence. Methods: 52 cases of GDM pregnant women in the 36 to 40 weeks of gestation before termination of pregnancy amniocentesis amniotic fluid amniotic fluid amniotic fluid foam test to determine the termination of pregnancy after fetal lung maturity. Sixty-four pregnant women of gestational age with gestational age (gestational age> 37 weeks) of GDM as non-puncture group were given no fetal lung maturity before termination of pregnancy. The pregnancy outcomes and the incidence of NRDS were compared between the two groups. Results: There was no significant difference in gestational age, body mass index (BM I), cesarean section rate, postpartum hemorrhage and amniotic fluid in two groups of pregnant women. There was no significant difference between the two groups in terms of gestational age, neonatal hypoglycemia, Neonatal asphyxia and the incidence of NRDS no significant difference. Conclusion: Pregnancy-free GDM pregnant women do not need routine amniocentesis to determine the degree of fetal lung maturity before their elective pregnancy termination.
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