摘要
目的:分析妊娠糖尿病患者血糖异常与剖宫产指征的相关性。方法:选择2018年6月—2020年6月天津市滨海新区塘沽妇产医院收治的120例妊娠期糖尿病患者作为观察组,另外选择同期在医院进行产检的80例健康产妇作为对照组,比较两组产妇剖宫产率、巨大儿、胎儿窘迫、胎位异常、胎膜早破发生情况。另外根据妊娠期糖尿病患者血糖指标异常情况进行分组,分为A组38例,单纯空腹血糖(FPG)异常、B组47例,单纯餐后2 h血糖(2 hPG)异常、C组35例,FPG、2 hPG均异常,比较三组妊娠糖尿病产妇间妊娠结局,包括宫产率、巨大儿、胎儿窘迫、胎位异常、胎膜早破发生情况;分析血糖异常与剖宫产指征的相关性。结果:观察组剖宫产率、巨大儿、胎儿窘迫、胎位异常、胎膜早破发生率分别为41.47%、34.17%、31.67%、23.33%、35.83%,均高于对照组的7.50%、2.50%、5.00%、2.50%、3.75%,差异有统计学意义(χ^(2)=27.794、28.519、20.575、16.340、27.899,P<0.001);三组间剖宫产率、巨大儿、胎儿窘迫、胎位异常、胎膜早破发生率相比,C组>B组>A组,差异有统计学意义(χ^(2)=13.125、13.839、9.749、18.572、10.837,P<0.05);血糖异常与巨大儿、胎儿窘迫、胎位异常、胎膜早破均呈正相关(r=0.757、0.673、0.758、0.802,P<0.05)。结论:妊娠糖尿病患者血糖异常与巨大儿、胎儿窘迫、胎位异常、胎膜早破均呈正相关,为改善妊娠结局,临床应及时采取干预措施,以降低不良妊娠结局发生率。
Objective:To analyze the correlation between abnormal blood glucose and indication for cesarean delivery in gestational diabetic patients.Methods:120 patients with gestational diabetes admitted to the hospital from June 2018 to June 2020 were selected as the observation group,and another 80 healthy mothers who underwent maternity checkups at the hospital during the same period were selected as the control group.The incidence of cesarean section rate,giant baby,fetal distress,abnormal fetal position,and premature rupture of membranes were compared between the two groups.The patients with gestational diabetes were grouped according to abnormal blood glucose indexes and divided into 38 cases in group A with abnormal fasting glucose(FPG)alone,47 cases in group B with abnormal 2 h postprandial glucose(2 hPG)alone,and 35 cases in group C with abnormal FPG and 2 hPG.Pregnancy outcomes,including the incidence of uterine delivery,macrosomia,fetal distress,abnormal fetal position,and premature rupture of membranes,were compared between the three groups of mothers.The correlation between abnormal blood glucose and indication for cesarean delivery was analyzed.Results:The incidence of cesarean section,giant baby,fetal distress,abnormal fetal position,and premature rupture of membranes in the observation group were 41.47%,34.17%,31.67%,23.33%,and 35.83%,respectively,which were higher than 7.50%,2.50%,5.00%,2.50%,and 3.75%in the control group,with statistically significant differences(χ^(2)=27.794,28.519,20.575,16.340,27.899,P<0.001).When comparing the rates of cesarean section,giant baby,fetal distress,abnormal fetal position,and premature rupture of membranes among the three groups,group C>groupB>group A,and the differences were statistically significant(χ^(2)=13.125,13.839,9.749,18.572,10.837,P<0.05).Blood glucose abnormalities were positively associated with macrosomia,fetal distress,abnormal fetal position,and premature rupture of membranes(r=0.757,0.673,0.758,0.802,P<0.05).Conclusion:Gestational diabetes mellitus patients with abnormal blood glucose was positively associated with macrosomia,fetal distress,abnormal fetal position,and premature rupture of membranes.In order to improve pregnancy outcomes,clinical interventions should be taken promptly to reduce the incidence of adverse pregnancy outcomes.
作者
张婕
Zhang Jie(Department of Obstetrics and Gynecology,Tanggu Maternity Hospital,Binhai New Area,Tianjin,300451,China)
出处
《黑龙江医学》
2023年第16期1941-1943,共3页
Heilongjiang Medical Journal
关键词
妊娠糖尿病
血糖异常
剖宫产指征
相关性
Gestational diabetes
Abnormal blood sugar
Indications for cesarean section
Correlation
