本文選題：糖尿病　切入點(diǎn)：妊娠　出處：《中華護(hù)理雜志》2017年07期 　論文類型：期刊論文

【摘要】：目的探討妊娠期糖尿病(gestational diabetes mellitus,GDM)與泌乳啟動延遲(delayed onset of lactogenesis,DOL)之間的關(guān)系,為GDM孕婦DOL的預(yù)防提供參考依據(jù)。方法從2016年3月—9月在南京市3所三級甲等醫(yī)院產(chǎn)檢的孕婦中,選取在孕期根據(jù)糖耐量篩查結(jié)果確診為GDM的孕婦275例作為GDM組,選擇糖耐量篩查結(jié)果正常的孕婦275例作為非GDM組,記錄兩組生產(chǎn)后自感泌乳啟動時(shí)間,收集產(chǎn)后48~72 h內(nèi)的乳汁檢測乳糖濃度。采用χ2檢驗(yàn)比較兩組DOL的發(fā)生率,采用t檢驗(yàn)比較兩組乳糖濃度,采用Pearson相關(guān)分析分析乳汁中乳糖濃度與泌乳啟動時(shí)間的相關(guān)性,采用非條件多因素Logistic回歸分析GDM對DOL發(fā)生的影響。結(jié)果 GDM組DOL發(fā)生率高于非GDM組,GDM組產(chǎn)婦乳汁中乳糖濃度低于非GDM組,差異均具有統(tǒng)計(jì)學(xué)意義(均P0.05),產(chǎn)后48~72h內(nèi)乳汁中乳糖濃度與泌乳啟動時(shí)間呈負(fù)相關(guān)關(guān)系,初產(chǎn)和患GDM是DOL的危險(xiǎn)因素。結(jié)論 GDM產(chǎn)婦泌乳啟動時(shí)間遲于非GDM產(chǎn)婦,GDM產(chǎn)婦發(fā)生DOL的風(fēng)險(xiǎn)更高,應(yīng)給予足夠重視并采取預(yù)防措施。
[Abstract]:Objective to investigate the relationship between gestational diabetes mellitusus (GDM) and delayed onset of lactation initiation (Dole) in order to provide a reference for the prevention of DOL in pregnant women with GDM. Two hundred and seventy-five pregnant women diagnosed with GDM according to the results of glucose tolerance screening during pregnancy were selected as GDM group, and 275 pregnant women with normal glucose tolerance screening results were selected as non-#en2# group. The starting time of spontaneous lactation after birth was recorded in the two groups. The lactose concentration was detected in the milk of 48 hours postpartum. The incidence of DOL in the two groups was compared by 蠂 2 test, the lactose concentration in the two groups was compared by t test, and the correlation between the lactose concentration in milk and the start time of lactation was analyzed by Pearson correlation analysis. Results the incidence of DOL in the GDM group was higher than that in the non-#en5# group and the lactose concentration in the milk of the non-#en5# group was lower than that in the non-#en6# group. The difference was statistically significant (P 0.05). The lactose concentration in milk was negatively correlated with the lactation start-up time within 48 h postpartum, and there was a negative correlation between lactose concentration and lactation start-up time in 48 h postpartum. Conclusion the onset time of lactation of GDM parturient is higher than that of non-#en3# parturient and the risk of DOL is higher. Therefore, enough attention should be paid and preventive measures should be taken.
【作者單位】： 南京醫(yī)科大學(xué)護(hù)理學(xué)院;南京醫(yī)科大學(xué)附屬婦產(chǎn)醫(yī)院護(hù)理部;
【基金】：江蘇省重點(diǎn)學(xué)科建設(shè)項(xiàng)目(蘇教研[2012]2號)
【分類號】：R473.71
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本文編號：1621379