糖尿病产妇分娩症状及其对新生儿影响分析.docVIP

精品论文 参考文献 糖尿病产妇分娩症状及其对新生儿影响分析 段秀玲 （成都市锦江区妇幼保健院产科 四川成都 610000 ） 【摘要】目的 探讨糖尿病产妇分娩症状及其对新生儿影响，为糖尿病孕产妇分娩干预提供参考依据。方法　选取我院分娩的糖尿病产妇92例，分别匹配同期分娩的非糖尿病产妇92例为对照组，产妇和新生儿资料采用面对面问卷调查收集。结果　糖尿病产妇发生妊娠高血压、羊水过多、感染和胎盘早剥和感染的比例与对照组比较存在显著性差异（Plt;0.05）；糖尿病孕产妇分娩的新生儿出现巨大儿、新生儿低血糖、呼吸窘迫综合征、先天畸形和早产的比例显著高于对照组（Plt;0.05）。结论　糖尿病产妇及其新生儿结局存在较大的疾病风险，糖尿病产妇孕期监测，必要时选择终止妊娠方式很有必要。 【关键词】糖尿病 孕产妇 新生儿 疾病风险 【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752（2013）13-0113-02 Impact analysis on gestational symptom of diabetic puerperae and their neonate 【Abstract】 Objective: To explore the influence of diabetes mellitus on pregnant women and their neonate and provide basis for intervention of gestational diabetes mellitus. Methods: 92 pregnant women with diabetes mellitus form our hospital and 92 control (pair matched with age and family economic) were selected and data of pregnant women and neonate were collected by a method of face to face. Results: There were significant differences between group of gestational diabetes mellitus and control group in the incidences of gestational hypertension，hydramnion，infection and placental abruption(Plt;0.05). The incidence rates of the gestational diabetes mellitus were higher than that of control in macrosomia，respiratory distress syndrome，neonatal hypoglycemia，congenital malformation and premature birth (Plt;0.05). Conclusion: Diabetic puerpera and their neonate had more disease risk. It was necessary to diabetic puerpera for gestational surveillance and termination of pregnancy was exercised when necessary. 【Key words】 diabetes pregnant women neonate disease risk 糖尿病孕产妇是妊娠后合并糖代谢异常病症的产妇。随着育龄妇女社会生活方式的改变，妊娠期糖尿病的发生呈上升趋势[1]。有研究报道：糖尿病孕妇易发生妊娠期高血压、感染、难产和产道损伤等危险，而且其分娩的新生儿易出现巨大儿、呼吸道窘迫、先天性畸形、低血糖和呼吸窘迫综合征等现象[2]，对母亲和新生儿的健康存在重要影响。本调查对我院分娩的92例糖尿病产妇与非糖尿病产妇进行比较分析，探讨糖尿病产妇分娩危险症状及其对新生儿影响，为糖尿病孕产妇合理干预提供参考依据。 1 对象和方法 1.1 研究对象 选取我院2009年1月-2009年l2月住院分娩的糖尿病产妇92例，按照年龄和家庭经济状况分别匹配同期分娩的非糖尿病产妇92例为对照组。 1.2