董金花

[摘要] 目的 分析妊娠合并糖尿病对孕产妇及围生儿的影响。方法 选取93例该院于2017年5月—2018年1月所收治的妊娠合并糖尿病孕产妇为研究组，另选取93名同期于该院行分娩的健康孕产妇为对照组，观察并比较两组孕产妇和围生儿并发症的发生情况以及分娩情况。结果 研究组剖宫产率及难产率分别为68.82%、63.44%，较对照组的47.31%、43.01%均明显更高，差异有统计学意义（P<0.05）。结论 妊娠合并糖尿病对孕产妇及围生儿的影响较大，加大了两者并发症的发生率，同时也使得孕产妇极易出现剖宫产和难产，加强此类孕产妇围生期的治疗与护理对于减少孕产妇及围生儿并发症的发生、改善分娩结局具非常重要的意义。

[关键词] 妊娠合并糖尿病；孕产妇；围生儿；影响

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2018）03（a）-0009-02

[Abstract] Objective To analyze the effect of pregnancy combined with diabetes on the maternal women and perinatal infants. Methods 93 cases of maternal women with pregnancy and diabetes admitted and treated in our hospital from May 2017 to January 2018 were selected as the research group， and 93 cases of healthy maternal women in our hospital at the same period were selected as the control group， and the occurrence of complications and delivery situation were compared and observed. Results The cesarean section rate and dystocia rate in the research group were higher than those in the control group （68.82%， 63.44% vs 47.31%， 43.01%）， and the difference was statistically significant（P<0.05）. Conclusion The effect of pregnancy combined with diabetes on the maternal women and perinatal infants is bigger， which can increase the incidence rate of complications， and make maternal women easy to have cesarean section and dystocia， and enhancing the treatment and nursing of maternal women during the perioperative period is of very important significance to reducing the occurrence of complications and improving the delivery outcome.

[Key words] Pregnancy combined with diabetes； Maternal women； Perinatal infant； Effect

孕产妇于妊娠期发生糖尿病会极大的影响孕产妇自身及胎儿的身体健康，加大孕产妇及围生儿并发症的发生率，易造成孕产妇及围生儿的不良结局。为此，临床高度重视患有妊娠合并糖尿病的孕产妇，于孕产期间也会加强对其的治疗和护理。该研究选取了该院于2017年5月—2018年1月收治的妊娠合并糖尿病孕产妇及健康孕产妇各93例，对比了两组孕产妇及围生儿并发症的发生情况及分娩情况，旨在探讨妊娠合并糖尿病对孕产妇及围生儿的影响，现报道如下。

1 资料与方法

1.1 一般资料

选取93例该院收治的妊娠合并糖尿病孕产妇为研究组，所有孕产妇经B超检查均为单胎妊娠，与2010年美国糖尿病学会所制定妊娠合并糖尿病相关诊断标准相符，经血糖测定、糖筛查及糖耐量实验确诊，其中血糖测定为空腹测量血糖两次及以上结果均显示为超5.8 mmol/L；糖筛查为5 min内口服50 g葡萄糖，1 h后血糖水平超7.8 mmol/L；糖耐量实验为禁食12 h后口服75 g葡萄糖，1、2、3 h后血糖水平中有两项及以上水平超标。……