發(fā)布時間：2018-11-11 16:39

【摘要】：目的：妊娠期糖尿病與母兒并發(fā)癥的相關(guān)性。方法：采用回顧性分析對新疆醫(yī)科大學(xué)第一附屬醫(yī)院產(chǎn)科200例住院分娩的妊娠期糖尿病的產(chǎn)婦(病例組),并與同期非妊娠期糖尿病的200例(對照組)住院分娩產(chǎn)婦進(jìn)行對照。兩組孕婦年齡均為20-30歲,差異無統(tǒng)計意義(P0.05)。采用χ2檢驗分析妊娠期糖尿病對母兒并發(fā)癥的相關(guān)性。結(jié)果：統(tǒng)計結(jié)果提示42例曾有先兆流產(chǎn)或保胎治療史(P0.05),18例曾有早產(chǎn)流產(chǎn)史(P0.05),7例高血壓(P0.05),13例胎膜早破(P0.05),6例產(chǎn)后出血(P0.05),20例胎兒窘迫(P0.05),17例新生兒窒息(P0.05),5例胎兒生長受限(P0.05),與非妊娠期糖尿病產(chǎn)婦比較無統(tǒng)計學(xué)意義。8例早產(chǎn)(P0.05),72例羊水過多(P0.05),32例巨大兒(P0.05),11例死胎死產(chǎn)(P0.05),11例胎兒畸形(P0.05),與非妊娠期糖尿病產(chǎn)婦比較均有統(tǒng)計學(xué)意義。結(jié)論：妊娠期糖尿病影響母嬰預(yù)后,增加自然流產(chǎn)、巨大兒、羊水過多、新生兒窒息、胎兒畸形、死胎死產(chǎn)等妊娠合并癥,加強對妊娠期糖尿病孕婦的管理,早期診治,改善妊娠結(jié)局具有重要意義。
[Abstract]:Objective: to study the relationship between gestational diabetes mellitus and maternal and fetal complications. Methods: a retrospective analysis of 200 pregnant women (case group) with gestational diabetes complicating diabetes (GDM) in the first affiliated Hospital of Xinjiang Medical University and 200 cases (control group) of non-gestational diabetes mellitus in the same period were carried out. The age of pregnant women in the two groups was 20-30 years old, the difference was not statistically significant (P0.05). 蠂 2 test was used to analyze the correlation between gestational diabetes mellitus (GDM) and maternal and fetal complications. Results: the statistical results showed that 42 cases had a history of threatened abortion or fetal preservation (P0.05), 18 cases had a history of premature abortion (P0.05), 7 cases had hypertension (P0.05), 13 cases had premature rupture of membranes (P0.05). There were 6 cases of postpartum hemorrhage (P0.05), 20 cases of fetal distress (P0.05), 17 cases of neonatal asphyxia (P0.05), 5 cases of fetal growth restriction (P0.05). There was no significant difference between pregnant women and non-gestational diabetes women. There were 8 cases of premature delivery (P0.05), 72 cases of amniotic fluid excess (P0.05), 32 cases of macrosomia (P0.05), 11 cases of stillbirth (P0.05), 11 cases of fetal malformation (P0.05). There was statistical significance in comparison with non-pregnant women with diabetes mellitus. Conclusion: gestational diabetes mellitus affects the prognosis of mother and child, increases spontaneous abortion, macrosomia, amniotic fluid excess, neonatal asphyxia, fetal malformation, stillbirth and other pregnancy complications, and strengthens the management of pregnant women with gestational diabetes mellitus and early diagnosis and treatment. Improving the outcome of pregnancy is of great significance.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R714.256

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