| 摘要: |
| ［摘要］ 目的 对比分析择期引产干预与自然临产对妊娠期糖尿病孕（产）妇分娩方式及分娩结局的影响。方法 对足月分娩的妊娠期糖尿病孕（产）妇422例临床资料进行回顾性分析。择期引产组231例，自然临产组191例。对比两组孕（产）妇终止妊娠前血糖值、分娩方式及围生儿并发症。结果 择期引产组血糖控制满意率为88.7%，显著高于自然临产组的74.3%；空腹血糖为（5.1±0.8）mmol/L，餐后2 h血糖为（6.3±0.6）mmol/L，分别低于自然临产组的（5.7±1.0）mmol/L和（6.8±1.2）mmol/L。两组比较差异均有统计学意义（P<0.01）。择期引产组剖宫产率为59.7%，自然临产组为58.6%，组间差异无统计学意义（P>0.05）。然而前者以胎儿窘迫为剖宫产指征者比例显著低于后者，以患者自身要求行剖宫产者比例显著高于后者（P<0.01）。择期引产组围生儿并发症发生率为6.5%，显著低于自然临产组的22.5%（P<0.01）。结论 择期引产干预有助于稳定孕（产）妇血糖，但对降低剖宫产率无明显作用，但可有效降低胎儿窘迫所致剖宫产率，有助于减少围生儿并发症，值得推广。 |
| 关键词: 择期引产 妊娠期糖尿病 分娩结局 |
| DOI：10.3969/j.issn.1674-3806.2015.06.10 |
| 分类号:R 714.256 |
| 基金项目: |
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| The influence of induced labor intervention in a selecting time on gestational diabetes pregnant childbirth way |
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SHEN Shu-jing
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Department of Obstetrics, Shenzhen Maternal and Child Health Hospital Affiliated to Southern Medical University, Guangdong 518028, China
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| Abstract: |
| ［Abstract］ Objective To comparatively analyze the induced labor intervention and natural labor for gestational diabetes pregnant childbirth way and the birth outcomes.Methods 422 cases of the term delivery of women with gestational diabetes mellitus were retrospectively analyzed, with 231 cases in the induced labor group and 191 cases in the natural labor group. Maternal blood glucose value before termination of pregnancy, childbirth way and the perinatal complications were compared between the two groups.Results Satisfaction rate of blood sugar control in the induced labor group was significantly higher than that in the natural birth group(88.7% vs 74.3%). Fasting blood-glucose and 2-hour postprandial blood glucose were significantly lower in the induced labor group than those in the natural labor group［（5.1±0.8) vs (5.7± 1.0）mmol/L and （6.3±0.6) vs (6.8±1.2）mmol/L］. These differences were statistically significant（P<0.01）. Cesarean section rate was 59.7% in the induced labor group and 58.6% in the natural labor group. There was no significant difference between the two groups（P>0.05）. However, the ratio of the former with fetal distress for cesarean section indications was significantly lower in the induced labor group than that in the natural labor group. The patients′ own requirements for indications were significantly higher in the induced labor group than those in the natural labor group（P<0.01）. The incidence of perinatal complications of the selective induced labor group was significantly lower than that of the natural labor group (6.5% vs 22.5%, P<0.01）.Conclusion Selective induction of intervention can help stabilize the maternal blood glucose level and effectively reduce the rate of fetal distress to cesarean section,but has no obvious effect on reducing the rate of cesarean section. |
| Key words: Selective induced labor Gestational diabetes Delivery outcome |
