首页|无痛分娩对妊娠期糖尿病患者分娩的效果分析

无痛分娩对妊娠期糖尿病患者分娩的效果分析

Effect of Painless Delivery on Delivery in Patients with Gestational Diabe-tes Mellitus

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目的 观察妊娠期糖尿病(Gestational Diabetes Mellitus,GDM)患者选择无痛分娩的效果.方法 选取2021年1月—2022年12月厦门大学附属妇女儿童医院收治的80例GDM患者为研究对象,按不同分娩方式分为对照组和观察组,观察组选择无痛分娩,对照组选择传统分娩,各40例.比较两组的血糖变化、母婴结局及分娩疼痛情况.结果 分娩后,相较对照组,观察组空腹血糖[(4.45±0.72)mmol/L]、餐后2 h血糖[(5.29±1.14)mmol/L]更优,差异有统计学意义(t=2.946、3.242,P均<0.05).观察组的剖宫产率(7.50%)、新生儿窒息率(2.50%)、胎儿窘迫率(0),新生儿低血糖发生率(2.50%)均低于对照组,差异有统计学意义(χ2=4.588、5.000、5.333、5.000,P均<0.05).观察组的分娩疼痛缓解情况及新生儿Apgar评分均优于对照组,差异有统计学意义(P均<0.05).结论 无痛分娩可降低GDM患者的血糖水平,降低不良妊娠结局发生率及分娩疼痛评分,促进新生儿质量的改善.
Objective To observe the effect of painless delivery in patients with Gestational Diabetes Mellitus(GDM).Methods A total of eighty GDM patients admitted to the Women and Children's Hospital Affiliated to Xiamen Univer-sity from January 2021 to December 2022 were selected as the study objects.According to different delivery methods,they were divided into control group and observation group.the observation group selected painless delivery,the con-trol group selected traditional delivery,with forty cases each.Blood glucose changes,maternal and infant outcomes and labor pain were compared between the two groups.Results After delivery,compared with the control group,the fasting plasma glucose[(4.45±0.72)mmol/L]and 2-hour postprandial plasma glucose[(5.29±1.14)mmol/L]in the ob-servation group were better,the differences were statistically significant(t=2.946,3.242,both P<0.05).The cesarean section rate(7.50%),neonatal asphyxia rate(2.50%),fetal distress rate(0)and neonatal hypoglycemia rate(2.50%)in the observation group were lower than those in control group,and the differences were statistically significant(χ2= 4.588,5.000,5.333,5.000,all P<0.05).Delivery pain relief and neonatal Apgar score in observation group were bet-ter than those in control group,the differences were statistically significant(both P<0.05).Conclusion Painless deliv-ery can reduce the blood glucose level of GDM patients,reduce the incidence of adverse pregnancy outcomes and la-bor pain scores.

Painless deliveryGestational diabetes mellitusDelivery outcomePain conditionNeonatal Apgar score

李浩娟、江真真、叶桂华

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厦门大学附属妇女儿童医院妇产科,福建厦门 361000

无痛分娩 妊娠期糖尿病 分娩结局 疼痛情况 新生儿Apgar评分

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(2)
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