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目的探讨糖代谢异常并发子前期对妊娠结局的影响。方法选取2010年5月至2013年4月收治的妊娠期合并糖代谢异常患者82例,其中28例并发子前期的患者为观察组,54例未并发子前期的患者为对照组,观察并比较两组患者和新生儿相关并发症的发生情况。结果观察组患者羊水过多、胎儿窘迫、早产、剖宫产及产后出血的发生率均明显高于对照组,差异均有统计学意义(均P<0.05);观察组新生儿窒息、小于胎龄、新生儿呼吸窘迫综合征(NRDS)、低血糖及转科的发生率均明显高于对照组,差异均有统计学意义(均P<0.05)。结论妊娠期合并糖代谢异常的患者若并发子前期不仅增加产妇剖宫产、早产及胎儿窘迫的发生率,同时也会增加新生儿窒息、小于胎龄、NRDS的发生率。
Objective To investigate the effect of abnormal glucose metabolism in preeclampsia on pregnancy outcomes. Methods Totally 82 patients with abnormal glucose metabolism during pregnancy were selected from May 2010 to April 2013. Among them, 28 patients with preeclampsia as observation group and 54 patients without preeclampsia as control group were observed. The comparisons between two groups of patients and neonates were compared. Results The incidence of polyhydramnios, fetal distress, premature delivery, cesarean section and postpartum hemorrhage in the observation group were significantly higher than those in the control group (all P <0.05). In the observation group, neonatal asphyxia, less than fetal The incidence of neonatal respiratory distress syndrome (NRDS), hypoglycemia and transcranial disease were significantly higher than those of the control group (all P <0.05). Conclusions Patients with abnormal glucose metabolism during pregnancy may not only increase the incidence of cesarean section, premature birth and fetal distress, but also increase the incidence of neonatal asphyxia, gestational age and NRDS.