摘要
目的探讨并分析妊娠期糖尿病孕妇早产及足月分娩的临床特征差异,并总结妊娠期糖尿病孕妇早产的危险因素。方法选取我院2014年1月-2015年12月间收治的100例妊娠期糖尿病孕妇作为本次研究对象,按照分娩结局分为早产组与足月分娩组,各50例。观察两组孕妇的临床特征,探讨妊娠期孕妇早产的危险因素。结果早产组孕妇的收缩压、产次、双胎或多胎高于足月分娩组(P<0.05);早产组患者的糖化血红蛋白和24h尿蛋白定量水平明显较高(P<0.05);早产组患者的子痫前期、前置胎盘、胎膜早破、胎盘早剥和胎儿窘迫高于足月分娩组(P<0.05),组间差异均有统计学意义。结论妊娠期糖尿病孕妇早产危险因素有子痫前期、胎盘前置、胎膜早破、胎盘早剥和胎儿窘迫,做好各种危险因素的防护对分娩结局有重要作用。
Objective To analyze the clinical features of preterm and full-term delivery of gestationaldiabetes,and to summarize the risk factors of preterm delivery in gestational diabetes.Methods The100pregnantwomen with gestational diabetes in our hospital from January2014to December2015were selected as the researchobject,and were divided into preterm group and full-term delivery group according to the outcome of delivery,each with a total of50cases.Clinical features of patients in two groups were analyzed and the risk factors of prematuredelivery were explored.Results The systolic blood pressure,birth time,twins or multiple births in prematuregroup were higher than those in full-term delivery group(P<0.05).Glycated hemoglobin and24h urinary proteinlevels in the preterm group were significantly higher than those in full-term delivery group(P<0.05).Preeclampsia,placenta previa,premature rupture of membranes,placental abruption and fetal distress in the preterm group werehigher than those in full-term delivery group(P<0.05).Conclusion The risk factors of gestational diabetes in pregnantwomen were preeclampsia,placenta previa,premature rupture of membranes,placental abruption and fetaldistress.The protection of all kinds of risk factors plays an important role in the outcome of labor.
作者
林柳斌
吴明霞
罗春芹
Liubin LIN;Mingxia WU;Chunqin LUO(Jinjiang Maternity and Children's Health Care Center, Jinjiang 362200, China)
出处
《临床检验杂志（电子版）》
2016年第3期165-167,共3页
Clinical Laboratory Journal(Electronic Edition)
关键词
妊娠期糖尿病
早产
足月分娩
临床特征
危险因素
Gestational diabetes
Preterm birth
Full-term birth
Clinical features
Risk factors
