妊娠期糖尿病产妇的分娩时机分析及其对围产儿影响

Timing of delivery in pregnant women with gestational diabetes and its effect on perinatal

目的:探讨妊娠期糖尿病产妇的分娩时机及其对围产儿影响.方法:60例妊娠期糖尿病产妇根据其分娩时机将其分为早期组、中期组及晚期组,比较三组产妇在分娩前期血糖水平,并对三组围产儿结局进行比较.结果:三组产妇在分娩前期,FBG、P2hBG及HbA1c水平差异均无统计学意义(P>0.05),且三组围产儿出现的不良结局主要包括巨大儿、胎儿窘迫、新生儿窒息及新生儿低血糖,且晚期组发生率最高,与其他两组差异存在统计学意义(P<0.05).结论:妊娠期糖尿病产妇分娩时机对围产儿结局影响很大,且在妊娠38~39周终止妊娠,能够有效避免围产儿出现不良结局,对保证母婴安全具有重要意义.

Objective: To investigate the timing of delivery in pregnant women with gestational diabetes and its influence on perinatal children. Methods: Sixty cases of gestational diabetes mellitus were divided into early, middle and late groups according to the timing of their delivery. The blood glucose levels of the three groups were compared before delivery and the outcomes of the three groups of perinatal children were compared. Results: There were no significant differences in FBG, P2hBG and HbA1c levels between the three groups (P> 0.05). The adverse outcomes of the three groups of perinatal infants included macrosomia, fetal distress, neonatal asphyxia and neonatal hypoglycemia. The incidence rate was the highest in the late group, and there was a statistically significant difference between the two groups (P< 0.05). Conclusion: The timing of delivery of gestational diabetes has a great influence on the outcome of perinatal infants, and termination of pregnancy at 38-39 weeks of gestation can effectively prevent adverse outcomes in perinatal infants, which is of great significance for ensuring maternal and child safety.