妊娠期尿糖阳性产妇妊娠结局的临床研究

Clinical analysis on pregnant outcomes of gravidas with positive urine glucose

目的了解妊娠期尿糖阳性对产妇妊娠的影响。方法对1 338例妊娠产妇进行尿糖筛查,68例尿糖阳性者作为阳性组,199例尿糖阴性孕妇作为对照组并进行对比分析。结果阳性组和对照组比较,死(畸)胎、妊娠期高血压、羊水异常、胎儿窘迫、巨大儿的发生率的差异均无统计学意义(P>0.05),胎膜早破的发生率差异有统计学意义(P<0.05)。结论孕妇尿糖阳性可能增加胎膜早破的风险,妊娠期间出现的尿糖阳性应及早处理,临床应予以高度重视。

Objective To study the effects of positive urine glucose on maternal pregnancy.Methods A total of 1 338 pregnant women were tested urine glucose.On the basis of their urine-glucose level,two groups were devided：experimental,68 cases of positive urine-glucose gravidas,control group,199 cases of negative urine-glucose gravidas.Analyze on the outcome of pregnancy of the two groups.Results Compared between positive group and control group,the incidence of died（abnormal）fetus,gestational hypertension,abnormal amniotic fluid,fetal distress,and fetal macrosomia were not statistically different（P〉0.05）,but the incidence of premature rupture of membranes was statistically different（P〈0.05）.Conclusion Positive glucose urine of gravidas might increase the risk of premature rupture of membranes,positive urine glucose detected during pregnancy should be highly valued.