妊娠合并糖尿病巨大儿的超声预测与分娩期处理

Ultrasound Prediction of Gestational Diabetes and Childbirth Process Huge Children

目的探讨妊娠合并糖尿病巨大儿的超声预测与分娩期处理。方法选取2012年1月—2013年11月该院收治的116例妊娠合并糖尿病孕妇,利用超声对胎儿的腹围(FAC)、双顶径(BPD)和股骨长度(FL)进行测量,并采用科学合理的分娩方式。结果 FAC、BPD、FL与新生儿体重关系系数为0.82、0.35、0.61。39例巨大儿中,有28例为剖宫产,占总数的71.8%;3例患者引产失败;8例患者为阴道分娩。结论结合临床相关资料及BPD、FL、FAC等预测胎儿体重,有利于医生制定有利于孕妇及胎儿的分娩方式,避免并发症发生,提高生产质量。

Objective Discussion gestational diabetes and childbirth ultrasound predict huge children＇s treatment. Methods Select January 2012 to November 2013 I treated 116 cases months gestational diabetes in pregnant women, the use of ultrasound for fetal abdominal circumference （FAC）, biparietal diameter （BPD） and femur length （FL） were measured, and the use of science rational mode of delivery. Results FAV, BPD, FL and the relationship between birth weight coefficient 0.82,0.35,0.61.39 patients with gi- ant children, 28 cases of cesarean section, 71.8% of the total; three patients failed induction; 8 patients with vaginal delivery. Conclusion Clinical relevant information and BPD, FL, FAC and so on estimating fetal weight, help doctors develop beneficial mode of delivery of pregnant women and fetuses, to avoid complications and improve production quality.