探究剖宫产术前禁食禁饮时间对妊娠期糖尿病产妇及新生儿血糖的影响

Explore the Effect of Fasting and Drinking Time Before Cesarean Section on Blood Glucose of Pregnant Women with Diabetes and Neonates During Pregnancy

目的分析剖宫产术前禁食禁饮时间对妊娠期糖尿病产妇及新生儿血糖的影响。方法选择该院在2017年10月—2019年10月收治的86例妊娠期糖尿病产妇,依据术前禁食禁饮时间分组,常规组43例产妇术前8 h禁食,6 h禁饮,试验组的43例产妇术前4 h禁食,2 h禁饮,比较两组产妇及新生儿的血糖和妊娠结局。结果术前,试验组产妇血糖为(5.62±0.39)mmol/L,常规组产妇血糖为(5.64±0.47)mmol/L,两组差异无统计学意义(P>0.05)。术后,试验组产妇血糖为(6.81±0.53)mmol/L,新生儿血糖为(4.71±1.16)mmol/L;常规组产妇血糖为(8.22±0.54)mmol/L,新生儿血糖为(4.03±1.21)mmol/L,差异有统计学意义(P<0.05)。试验组产妇术后高血糖的共2例,新生儿低血糖的共1例,不良妊娠结局发生率为6.98%(3例);常规组产妇切口感染的共2例,术后高血糖的共4例,新生儿低血糖的共4例,不良妊娠结局发生率为23.26%(10)例,差异有统计学意义(P<0.05)。结论在剖宫产术前缩短禁食禁饮时间,可让产妇及新生儿保持稳定的血糖状态,不良妊娠结局发生率得到显著降低。

Objective To analyze the effect of fasting and drinking time before cesarean section on blood glucose of pregnant women with diabetes and neonates during pregnancy.Methods 86 pregnant women with gestational diabetes were selected from the hospital from October 2017 to October 2019.According to the time of fasting and fasting before surgery,43 women in the routine group were fasted for 8 hours and fasted for 6 hours before surgery.Forty-three women in the experimental group were fasted for 4 hours and fasted for 2 hours before surgery.The blood glucose and pregnancy outcomes of the two groups of maternal and newborn babies were compared.Results Before surgery,the maternal blood glucose in the experimental group was(5.62±0.39)mmol/L,and the maternal blood glucose in the conventional group was(5.64±0.47)mmol/L.There was no statistically significant difference between the two groups(P>0.05).After operation,the maternal blood glucose in the experimental group was(6.81±0.53)mmol/L,and the neonatal blood glucose was(4.71±1.16)mmol/L.The maternal blood glucose in the routine group was(8.22±0.54)mmol/L,and the neonatal blood glucose was(4.03±1.21)mmol/L,the difference was statistically significant(P<0.05).In the experimental group,there were 2 cases of postpartum hyperglycemia and 1 case of neonatal hypoglycemia.The incidence of adverse pregnancy outcomes was 6.98%(3 cases).There were 2 cases of maternal incision infection in the conventional group,4 cases of postoperative hyperglycemia,and 4 cases of neonatal hypoglycemia.The incidence of adverse pregnancy outcomes was 23.26%(10 cases),the difference was statistically significant(P<0.05).Conclusion The newborn maintains a stable blood glucose state,the incidence of adverse pregnancy outcomes is significantly reduced.