179例妊娠期糖尿病对母婴结局的影响

The maternal-fetal resultant analysis of 179 cases of patients with gestational diabetes mellitus

目的通过对妊娠期糖尿病(GDM)患者进行产后随访,评估GDM患者母婴结局,为临床健康教育提供理论依据。方法对开封市某三级医院2010年6月至2012年6月间确诊的GDM患者于产后一个月内随访资料进行分析。结果 (1)179例患者生产方式中剖宫产133例(74.30%),伤口愈合不良16例(8.90%),产后血糖未恢复到正常11例(6.10%);(2)179例新生儿中早产儿7例(3.90%),巨大儿32例(17.90%),低体质量儿5例(2.80%),新生儿出生情况异常52例(29.10%);(3)低体质量儿与分娩孕周有关联,分娩方式与新生儿体质量有关联,新生儿出生情况异常与分娩孕周有关联(P<0.05);(4)巨大儿与分娩孕周无关联,新生儿出生情况异常与GDM患者确诊孕周无关联(P>0.05)。结论 GDM对母婴均有较大危害,因此进一步研究GDM对母婴结局的影响及早防治其并发症,降低死亡率有重要意义。

Object To provide a theoretical basis for clinical health education ,we make postpartum follow-up for the pa- tient with gestational diabetes mellitus and the maternal and neonatal outcomes analysis. Methods The thesis mainly studied a tertiary hospital from June 2010 to June 2012 GDM patients between diagnosed in postpartum a month fol- low-up data were analyzed. Results （ 1 ） Of these 179 patients, 133 cases who chose the cesarean section （74.3 % ）, 16 cases with poor wound healing （8.9 % ）, 11 cases whose Postpartum blood glucose level didn＇ t return to normal （6.1% ）; （2） of 179 cases, premature infants, 7 cases （3.9 % ）, macrosomia 32 cases （ 17.9 % ）, low birth weight infants in 5 pa- tients （2.8 % ）, Birth situation anomaly 51 cases （28.5 % ）; （3）Low mass son and delivery gestational weeks have rela- tions ;Delivery way and the birth weight have relations ;Birth abnormal situation and delivery gestational weeks have relations （P 〈 0.05 ）; （4）Great son and delivery gestational weeks no relationship, Birth abnormal situation with GDM patients diagnosed gestational weeks no relationship （P〉 0.05 ）.Conclusion Since GDM do great harm to both maternal and neonatal, it is of great meaning to have further study for how GDM affect the maternal and neonatal outcomes, and then control its complications and reduce mortality.