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发育医学电子杂志  2013, Vol. 1 Issue (2): 78-82    
  围产医学   论著 |产科 |
289 1侈JJ妊娠合并糖代谢异常住院分娩 患者的围生期结局变化情况分析
孔方方 赵玲娟 马振军 张翼狮 王香青
天津疗养院妇产科,天津300381
Analysis ofperinataloutcomes of 2891 hospitalized pregnant women withglucosemetabofism disorders
KONG Fang-fang,ZHA0 Ling-juan,MA Zhen-ju
Department of
Gynecology and Obstem'cs。Tianjin Sanatorium,Tianjin 300381,China
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摘要 【摘要】目的了解2001至2011年全国驻军医院收治的2891例妊娠合并糖代谢异常住院分娩患者
的围生期结局变化情况及其导致产后出血、孕产妇死亡、新生儿死亡的发生率变化情况。方法通
过中国人民解放军总后勤部信息技术中心病例查询系统得到2000年10月至2011年9月问,全国驻军
医院收治的妊娠合并糖代谢异常住院分娩患者共2891例临床资料,回顾性分析各年度顺产率、剖宫
产率、产后出血率、新生儿病死率、孕产妇病死率的变化。结果 (1)妊娠期糖尿病(GDM)患
者住院分娩占总住院分娩例数的2.58%。(1631/633 355):第1阶段,flp2001至2004年,GDM住院分
娩的发生率呈持恒状态,平均为l-56%o(269/172 936);第2阶段,艮02005至2008年,发生率呈上升
趋势,平均为4.63%。(1055/227 988);第3阶段,即2009至2011年,发生率呈下降趋势,平均为1.32%。
(307/232 431);(2)近11年,妊娠合并糖耐量异常(GIGT)住院分娩的总发生率呈上升趋势;
平均1.99%o(1 260/633 355)。GIGT住院剖宫产率呈轻度下降趋势,平均64.84%,妊娠合并糖代谢
异常孕妇新生儿总死亡率为0.07%(2/2891),其中GDM组为0.12%(2/1631),显著高于GIGT组的0%
(0/1260)。妊娠合并糖代谢异常孕妇产后出血总发生率为1.83%(53/2891),整体呈下降趋势,其
中GDM组产后出血发生率为2.27%(37/1631),显著高于GIGT组的1.27%(16/1260)。两组的孕产
妇死亡的发生率均为0。结论加强对孕前、孕期血糖水平的调控、治疗,早期发现糖耐量受损并对
其进行干预,如加强运动、合理饮食治疗和控制体重增长速度,控制血糖在合理水平,从而降低糖
尿病的发病几率,避免或减少不良妊娠结局的发生。
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关键词:  妊娠  糖尿病  糖耐量异常  产后出血  新生儿死亡    
Abstract: 【Abstract】0bjectives
The
study
was
designed
to evaluate
pregnancy
outcomes of 2891
pregnant
women with
glucose metabolism
disorders in
garrison hospitals,and
the incidence of postpartum
hemorrhage,
maternal
mortality,neonatal mortality.Methods
The clinical data of 289 1 eases
through inquiry system
from October 2000 to
September
201 1 were
retrospectively analyzed.The
eutocia rate,cesarean section rate,
postpartum hemorrhage rate,neonatal mortality
rate and maternal
mortality
rate were studied.Results(1)
The total
delivery
incidence of GDM was 2.58%口(1631/633 355).At the first
stage.from 2001
to 2004.
the
delivery
incidence of
gestational
diabetes
kept
stable at 1.56%0(2691172
936);at
the second
stage,
from 2005 to 2008,it was increased
gradually
with the
average
incidence of 4.63%D(1055/227 988):and
at the third
stage,from
2009 to 201 1,it was decreased
gradually,with
the
average incidence of
1.32%。
(307/232 43 1).(2)In recent 1 1 years.the total delivery incidence of GIGT was increased
gradually.with
the
average
incidence of 1.99%o(1260/633 355).The cesarean section rate of
gestational
diabetes metabolic
abnormalities showed a mild decrease with the
average incidence
of 64.84%.The abnormal
glucose metabolism
rate of
gestational
diabetes metabolic abnormalities was 0.07%(2/289 1),in which the
gestational
diabetes
group
was 0.12%(2/1631),which Was
significantly higher
than the
group
of pregnant women with abnormal
glucose tolerance【0%(0/1260)].The
incidence of
postpartum hemorrhage
of
pregnant
women with
glucose JDevelopmentMed,Apr 2013,V01.1,No.2
metabolism disorders showed a declining state,which was 1.83%(53/289 1),in which the rate of
gestational
diabetes
group[2.27%(37/1631)]was significantly higher
than the rate of
pregnant
women with abnormal
glucose
tolerance group[1.27%(1611260)].The maternal
mortality
rates of the two
groups
were both 0.
Conclusion We should
pay attention
tO the control of blood
glucose
level
during pre-pregnancy and pregnancy
stage,discover impaired glucose
tolerance
early
and
give intervention,such
as
exercise,proper
diet treatment
and body
weight growth
rate control,and
keep
the blood
glucose
at a reasonable level.And finally we hope
to reduce the risk of the further
development
of
gestational
diabetes and the incidence of adverse
pregnancy
outcomes.
Key words:  regnancy    GDM    GIGT    Postpartum hemorrhage    Neonatal mortality
               出版日期:  2013-04-30      发布日期:  2019-09-07      期的出版日期:  2013-04-30
引用本文:    
孔方方 赵玲娟 马振军 张翼狮 王香青. 289 1侈JJ妊娠合并糖代谢异常住院分娩 患者的围生期结局变化情况分析[J]. 发育医学电子杂志, 2013, 1(2): 78-82.
KONG Fang-fang, ZHA Ling-juan, MA Zhen-ju. Analysis ofperinataloutcomes of 2891 hospitalized pregnant women withglucosemetabofism disorders. Journal of Developmental Medicine(Electronic Version), 2013, 1(2): 78-82.
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[1] GAO Xiao-hui, MAO Jian. Clinical features of non-oliguric hyperkalemia in extremely low birth weight infants[J]. Journal of Developmental Medicine(Electronic Version), 0, (): 152 .
[2] Society of Neonatologist, Chinese Medical Doctor Association. Consensus recommendations on the prevention and early management of respiratory distress syndrome in preterm infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 129 -131 .
[3] Professional Committee of Respiratory, Society of Neonatologist, Chinese Medical Doctor Association. Clinical application recommendations for heated humidified high flow nasal cannula[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 132 -135 .
[4] YAN Jun, ZHU Xing-wang, SHI Yuan. Application progress of noninvasive ventilate technique for premature infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 136 -140 .
[5] GU Min-fang, YANG Chuan-zhong. Progress of intrapartum resuscitation for premature infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 141 -145 .
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[7] GAO Xiao-hui, MAO Jian. Clinical features of non-oliguric hyperkalemia in extremely low birth weight infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 152 -158 .
[8] XIA Yao-fang, YANG Juan , TIAN Bao-li, et al. Value of amplitude-integrated electroencephalography in monitoring acute period of neonatal bilirubin encephalopathy and prognostic assessment[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 159 -163 .
[9] WANG Li-rong, SUN Xiao-yan, ZHU Ruo-xin, et al. Epidemiological investigation and analysis of women aged 40-55 years old with osteoporosis in Gansu province[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 164 -167 .
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