摘要
目的探讨高龄孕妇合并妊娠期糖尿病对母婴结局的影响。方法 2013年1月—2014年6月选取我所建卡的51例患妊娠期糖尿病的高龄孕妇作为高龄组,并将同期在我所建卡的621例患妊娠期糖尿病的非高龄孕妇作为非高龄组,回顾分析2组孕妇的母婴结局,进行统计分析。结果高龄组的羊水过多、妊娠期高血压、胎儿宫内发育迟缓、胎儿窘迫的发生率明显高于非高龄组(P<0.05),而高龄组的感染、巨大儿、新生儿低血糖的发生率与非高龄组比较无明显差异(P>0.05)。结论高龄孕妇合并妊娠期糖尿病对母婴的危害较大,应及时筛查出妊娠期糖尿病,并积极做好围生期保健指导,以减少对母婴的不良影响。
Objective To investigate the effect of the elder pregnant women with gestational diabetes mellitus on pregnancy outcomes.Methods 51 cases with the elder pregnant women of gestational diabetes mellitus in the hospital from January 2013 to June 2014 were selected as experimental group and 621 cases with the younger pregnant women of gestational diabetes mellitus were selected as control group,The pregnancy complications and perinatal and analyzed statistically.Results The percentage of the elder pregnant women with gestational diabetes mellitus was 32.69%,the percentage of the younger pregnant women with gestational diabetes mellitus was 18.55%,which were significant differences of incidence（P〈0.05）.In the elder group the rate of hydramnios, prency_induced hypertension syndrome, fetal growth restriction and fetal distress were higher than younger group （P〈0.05）.But there were no significant differences of incidenceof the rate of infect,macrosomia and neonatal hypoglycemia between the two groups（P〉0.05）.Conclusions The older pregnant women with gestational diabetes mellitus do harm to pregnants and infants, timely screen gestational diabetes mellitus, do good perinatal care guide actively, reduce maternal and neonatal complications.
出处
《基层医学论坛》
2015年第32期4466-4468,共3页
The Medical Forum
关键词
高龄孕妇
妊娠期糖尿病
母婴结局
影响
Elder pregantwoman
Gestational diabetes mellitus
Mother and infant outcome
Influence
