摘要
目的探讨对肥胖妊娠期糖尿病孕妇实施"有备分娩"干预的价值。方法选取2014年1月至2015年6月于我院产科门诊产检诊断为妊娠期糖尿病(GDM),孕前BMI≥28的80例单胎孕妇为研究对象,根据是否自愿参加产前"有备分娩"分为观察组(40例)与对照组(40例),比较两组分娩情况、产程时间、产后出血量与新生儿窒息率。结果观察组31例阴道分娩,9例剖宫产,剖宫产率为22.5%;对照组22例阴道分娩,18例剖宫产,剖宫产率为45.0%,可见观察组剖宫产率低于对照组,差异具有统计学意义(P<0.05)。观察组第一产程与第二产程均明显短于对照组,差异具有统计学意义(P<0.05);观察组产后出血量少于对照组,差异具有统计学意义(P<0.05);观察组新生儿窒息率低于对照组,差异具有统计学意义(P<0.05)。结论对肥胖妊娠期糖尿病孕妇实施"有备分娩"干预可降低剖宫产率,缩短产程时间,减少术后出血量,降低新生儿窒息率,值得临床应用。
Objective To explore the value of＂prepared delivery＂intervention applied on pregnant women with obese gestational diabetes mellitu. Methods Eighty pregnant women with singleton fetuses who were confirmed to suffer from gestational diabetes mellitus（ GDM） via prenatal diagnosis in the Clinic Department of the Hospital from January,2014 to June,2015 and have pre- gestational BMI≥28 were selected as research object,who were divided into the observation group（ 40 cases） and the control group（ 40cases） according to the principle of voluntary participation of preparation,and delivery conditions,delivery duration,postpartum blood loss and neonatal asphyxia rate of two groups of patients were compared. Results There were 31 and 9 patients in the observation groups respectively undergoing vaginal delivery and cesarean delivery with the cesarean section rate at 22. 5%. While there were22 and 18 patients in the observation groups respectively undergoing vaginal delivery and cesarean delivery with the cesarean section rate at 22. 5%,it is concluded that the cesarean section rate of the observation group was lower than that of patients in the control group,and the difference was statistically significant（ P〈0. 05）. The first and second stages of labor of patients in the observation group were significantly shorter than those of patients in the control group,and the difference was statistically significant（ P〈0. 05）.The postpartum bleeding amount of patients in the observation group was less than that of patients in the control group,and the difference was statistically significant（ P〈0. 05）. The neonatal asphyxia rate of the observation group was lower than that of the control group,and the difference was statistically significant（ P〈0. 05）. Conclusion The ＂Prepared Delivery＂intervention applied on pregnant women with obese gestational diabetes can decrease the rate of cesarean delivery,shorten labor duration,reduce the postoperative amount of bleeding,and lower rate of neonatal asphyxia,being worthy of clinical application.
出处
《哈尔滨医药》
2016年第2期144-145,162,共3页
Harbin Medical Journal
基金
佛山市卫生局科研课题立项基金课题<实施"有备分娩"对肥胖妊娠期糖悄病阴孕妇干预的研究>(2014305)
关键词
有备分娩
肥胖症
妊娠期糖尿病
干预
Prepared delivery
Obesity
Gestational diabetes mellitus
Intervention
