缩短禁食禁饮时间对妊娠期糖尿病剖宫产产妇分娩结局的影响

Effect of shortened fasting time before Caesarean section on delivery outcomes of women with gestational diabetes mellitus

目的探讨缩短禁食禁饮时间对妊娠期糖尿病产妇剖宫产结局的影响。方法按时间段将100例妊娠期糖尿病剖宫产产妇分为两组各50例。对照组术前禁食8 h,禁饮6 h;观察组术前禁食6 h,禁饮2 h。结果观察组术前空腹血糖水平与对照组比较,差异有统计学意义(P <0. 01);观察组产妇术中出血量、肛门排气时间少于和短于对照组(P <0. 05,P <0. 01);观察组新生儿出生后血糖值高于对照组、低血糖发生率低于对照组(均P <0. 05);观察组术前口渴、饥饿、焦虑程度显著轻于对照组(P <0. 05,P <0. 01)。结论术前禁食6 h、禁饮2 h应用于妊娠期糖尿病剖宫产产妇可稳定其血糖水平,降低产妇术前低血糖及新生儿低血糖发生率,提高产妇舒适度,促进术后身体恢复。

Objective To investigate the effect of shortened fasting time before Caesarean section on delivery outcomes of women with gestational diabetes mellitus( GDM). Methods A total of 100 GDM cases were divided into 2 groups of 55 each according to admission orders.The control group were subjected to an 8 h no food and 6 h no drink fasting regimen while the observation group to a 6 h no food and 2 h no drink regimen,before Caesarean section. Results The level of fasting blood glucose in the observation group was significantly different from that in the control group( P < 0. 01). The blood loss volume during the procedure was less and the time to gas passage was shorter in the observation group than in the control group( P < 0. 05 for both). Blood glucose of the newborns in the former was higher,and incidence rate of hypoglycemia was lower,than those of the latter group( P < 0. 05 for both). The levels of thirst,hunger and anxiety in the observation group were significantly milder than those in the control group( P < 0. 05 for all). Conclusion The 6 h no food and 2 h no drink fasting regimen before Caesarean section can stabilize blood glucose level of GDM women,reduce incidence rates of preoperative hypoglycemia and neonatal hypoglycemia,improve maternal comfort,and promote postoperative physical recovery.