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目的调查妊娠糖尿病孕妇并发巨大儿、胎儿窘迫、妊娠高血压综合征(妊高症)等剖宫产指征的概率,研究其相关性。方法选取2009年1月～2012年1月80例的妊娠糖尿病孕妇的临床资料作为观察组研究对象,分析妊娠糖尿病孕妇不同血糖水平与剖宫产指征发生的相关性。另选取同时期血糖正常的孕妇67例作为对照组。结果①观察组孕妇剖宫产率为26.25%(21/80),高于对照组孕妇剖宫产率7.46%(5/67),两组比较差异有统计学意义(P﹤0.05)。②观察组剖宫产指征中巨大儿发生率为33.33%、胎儿窘迫发生率为23.81%、妊高症发生率为23.81%,均较高于对照组(0.0%,20.0%,20.0%),差异均有统计学意义(P﹤0.05);而观察组胎位异常和其他指征发生率低于对照组。③观察组的C组中巨大儿、胎儿窘迫、胎位异常以及妊高症等剖宫产指征发生率分别为14.29%、14.29%、9.52%、14.29%,明显高于A组或B组,差异有统计学意义(P﹤0.05)。结论妊娠糖尿病明显增加孕妇的剖宫产指征发生率,尤其是巨大儿、胎儿窘迫以及妊高症等,而且随着血糖异常情况加重,各种剖宫产指征发生率明显增高。
Objective To investigate the probabilities of cesarean section indications such as giant fetus, fetal distress and pregnancy-induced hypertension (PIH) in pregnant women with gestational diabetes mellitus, and to investigate their correlation. Methods The clinical data of 80 pregnant women with gestational diabetes mellitus from January 2009 to January 2012 were selected as the observation group to analyze the correlation between different blood glucose levels and indication of cesarean section in pregnant women with gestational diabetes mellitus. Another 67 cases of the same period of normal blood sugar as a control group. Results ① The rate of cesarean section in the observation group was 26.25% (21/80), which was higher than that in the control group (7.46%, 5/67). There was significant difference between the two groups (P <0.05). ② In the observation group, the incidence of macrosomia was 33.33% in cesarean section indications, the incidence of fetal distress was 23.81% and the pregnancy-induced hypertension rate was 23.81%, which were higher than those in control group (0.0%, 20.0%, 20.0%) , The difference was statistically significant (P <0.05); while the observed group of fetal position abnormalities and other indications incidence was lower than the control group. ③ In the observation group, the incidence of macrosomia, fetal distress, abnormal fetal position and pregnancy-induced hypertension were 14.29%, 14.29%, 9.52% and 14.29% respectively in group C, which were significantly higher than those in group A or B, The difference was statistically significant (P <0.05). Conclusion Gestational diabetes mellitus significantly increased the incidence of cesarean section indications in pregnant women, especially macrosomia, fetal distress and pregnancy-induced hypertension, and with the abnormalities of blood glucose aggravating, the incidence of various indications of cesarean section was significantly higher.