首页|妊娠期糖尿病合并早发型重度子痫前期的临床诊治特点及对母婴结局的影响

妊娠期糖尿病合并早发型重度子痫前期的临床诊治特点及对母婴结局的影响

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目的:探讨妊娠期糖尿病合并早发型重度子痫前期的临床诊治特点及对母婴结局的影响。方法:把妊娠期糖尿病合并早发型重度子痫前期68例患者按入院时的孕周数分为两组,每组34例,Ⅰ组:孕周数小于31周,Ⅱ组:孕31-33周,比较两组终止妊娠的时机及母婴结局。结果:Ⅰ组孕妇期待治疗时间明显长于Ⅱ组,且严重并发症发生率高于Ⅱ组,两组比较有显著性差异(P<0.05);Ⅰ组新生儿窒息率和围产儿死亡率均高于Ⅱ组,且新生儿Apgar评分低于Ⅱ组,两组比较有显著性差异(P<0.05)。结论:妊娠期糖尿病合并早发型重度子痫前期对母婴危害大,且孕周越小,母婴预后越差,临床应密切监测病情变化,并采取有针对性的个体化治疗原则,以提高分娩质量。
Objective: To investigate the clinical characteristics of diagnosis and treatment period of diabetes with early onset severe preeclampsia pregnancyand the effects on maternal and neonatal outcomes. Methods: the gestational diabetes with early onset severe preeclampsia 68 cases of hospitalized patients with gestational age when numbers are divided into two groups, 34 cases in each group, group Ⅰ: gestational week number less than 31 weeks, group Ⅱ: at 31 - 33 weeks, compared two groups of opportunity to terminate pregnancy and maternal and neonatal outcomes. Results: in group Ⅰ expectant treatment timewas significantly longer than that in group Ⅱ, and serious complications were higher in group Ⅱ, there were significant difference between two groups(P<0.05); in group Ⅰ, the rate of neonatal asphyxia and perinatal mortality were higher than those in group Ⅱ, and neonatal Apgar score lower than those in group I , there were significant difference between two groups (P<0.05).Conclusion: gestational diabetes with early onset severe preeclampsia is harmful to mother and infant, and the gestation is smal , maternal and infant prognosis is poorer, clinicians should closely monitor changes in condition, and take individualtreatment principle, in order to improve the quality of delivery.

diabetes during pregnancypreeclampsiapregnancy outcome

张文轲、杨瑾

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青岛大学附属医院黄岛分院产科 266555

山东东营胜利油田妇幼保健院妇女保健科 257079

妊娠期糖尿病 子痫前期 母婴结局

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(5)
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