妊娠期糖尿病孕妇所分娩足月新生儿结局分析

Explore the Pregnancy and Neonatal Outcomes Analyis of Gestational Diabetes Mellitus Pregnan t Women

目的：探索分析妊娠期糖尿病孕妇所分娩的足月新生儿结局。方法：选择我院接收的孕产妇作为研究对象，按照相关身体指标将其分为正常组和妊娠期糖尿病组。将2组产妇分娩婴儿的血糖情况、体重、Apgar评分以及入住NICU相关情况进行对比。结果：糖尿病组新生儿出生时、出生后1小时以及出生后2小时相应时间段血糖水平均显著低于正常组新生儿，差异具有统计学意义（P＜0．05）。糖尿病组新生儿低血糖发生率14．02％，显著高于正常组1．55％；糖尿病组新生儿巨大儿比例为9．35％，显著高于正常组的3．11％；糖尿病组新生儿入住NICU比例为29．91％，显著高于正常组的0．00％；糖尿病组新生儿窒息比例为8．41％，显著高于正常组的0．52％。差异均具有统计学意义（P＜0．05）。结论：妊娠期糖尿病孕妇所分娩的足月新生儿具有较高的低血糖发生率，同时也具有较高的NICU入住率，在临床工作中要加以重视，并采取相应措施进行处理。

Objective：To explore the pregnancy and neonatal outcomes analysis of gestational diabetes mellitus pregnant women deliv -ery.Methods：Choose the maternal in our hospital received as the research object , in accordance with the relevant physical indicators will be divided into the normal group and gestational diabetes mellitus .To compare two groups of maternal birth the baby＇s blood glucose ,body weight, Apgar score and NICU stay relevant circumstances .Rseults：Diabetes mellitus group neonatal birth , 1 hours after birth and birth after 2 hours the corresponding time period the average blood glucose water was lower than that of normal group of newborns , with statisti-cally significant difference （P＜0.05）.The diabetic group neonatal hypoglycemia incidence rate of 14.02%, significantly higher than that in normal group, diabetes group 1.55%;neonatal macrosomia proportion is 9.35%, obviously higher than that of normal group , dia-betes group 3.11%;neonatal NICU admission proportion is 29.91%, obviously higher than that of normal group , diabetes group 0%;newborn asphyxiaproportion is 8.41%, obviously higher than that of normal group of 0.52%.The difference was statistically significant （P＜0.05）.Conclusion：the incidence of gestational diabetes mellitus pregnant women of full -term newborns of pregnant women with higher hypoglycemia , but also has a high NICU occupancy rate , in clinical work , which must be paid attention to and take corresponding measures to deal with .