妊娠合并糖尿病对未足月胎膜早破发生率及母婴结局的影响研讨

Effect Discussion of Pregnancy with Diabetes on Incidence of Preterm Premature Rupture of Membranes and Maternal and Infant Outcomes

目的分析妊娠合并糖尿病对未足月胎膜早破发生率及母婴结局的影响。方法选取2019年8月—2023年7月本院收治的妊娠合并糖尿病产妇60例作为研究组,选取同期进行产前检查的健康孕妇60例作为参照组,对比两组未足月胎膜早破发生率和母婴结局。结果研究组未足月胎膜早破发生率显著高于参照组(P<0.05);研究组早产、剖宫产、羊水过多、妊娠期高血压疾病发生率较参照组高(P<0.05);新生儿不良事件结果中,研究组新生儿窒息、低血糖、高胆红素血症、巨大儿和呼吸窘迫综合征等数据较参照组更高(P<0.05)。结论妊娠合并糖尿病会导致未足月胎膜早破发生率显著增加,同时严重影响母婴结局,因此临床需加强诊断和治疗,以降低未足月胎膜早破发生率、母婴并发症和妊娠风险。

Objective To analyze effect of pregnancy with diabetes on incidence of preterm premature rupture of membranes(PPROM)and maternal and infant outcomes.Methods The paper chose 60 pregnant women with diabetes from August 2019 to July 2023 as study group,and 60 healthy pregnant women with prenatal examination at the same time as reference group.Incidence of premature rupture of membranes before term and maternal and infant outcomes were compared.Results Incidence proportion of premature rupture of membranes under full term in study group was significantly higher than reference group,with P<0.05.Study group had higher incidence of premature birth,cesarean section,polyhydramnios,and gestational hypertension than control group,hypothesis test was significant,with P<0.05.Results of adverse events of newborns showed,study group had higher proportion of data on neonatal asphyxia,hypoglycemia,hyperbilirubinemia,macrosomia,and respiratory distress syndrome than control group,hypothesis test was significant,with P<0.05.Conclusion Pregnancy with diabetes can increase incidence of preterm premature rupture of membranes significantly,and affect maternal and infant outcomes seriously.Therefore,clinical diagnosis and treatment should be strengthened to reduce incidence of preterm premature rupture of membranes,maternal and infant complications and pregnancy risks.