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目的研究孕妇妊娠期出现糖代谢紊乱尿微量蛋白不同结果对妊娠结局的影响。方法 175例糖代谢紊乱产妇根据尿微量蛋白阳、阴性分为观察组45例与对照组130例,观察组为阳性,对照组为阴性,结合两组妊娠结局对尿微量蛋白检查结果和不良妊娠结局发生的关系进行研究。结果观察组早产、子痫前期、胎膜早破、巨大儿、胎儿生长受限、剖宫产率分别为35.56%、37.78%、28.89%、11.11%、6.67%、33.33%,与对照组13.85%、9.23%、15.38%、25.38%、6.15%、33.85%比较,早产、子痫前期、胎膜早破及巨大儿差异具有统计学意义(P<0.05)。结论尿微量蛋白阳性产妇发生不良妊娠结局的几率高于阴性患者,尿微量蛋白是高危妊娠孕妇早期预测不良妊娠结局的重要指标,需引起临床重视。
Objective To study the effect of different results of urinary microalbuminuria in pregnant women during pregnancy on the outcome of pregnancy. Methods A total of 175 cases with abnormal glucose metabolism were divided into observation group (n = 45) and control group (n = 130) according to urine microalbumin positive test group. The observation group was negative and the control group was negative. Combined with the results of pregnancy test on urine microalbuminuria and adverse pregnancy The outcome of the relationship between the study. Results The rate of cesarean section was 35.56%, 37.78%, 28.89%, 11.11%, 6.67% and 33.33% in preterm labor, preeclampsia, premature rupture of membranes, macrosomia and fetal growth in observation group and 13.85% in control group Preterm birth, preeclampsia, premature rupture of membranes and macrosomia were statistically significant (P <0.05). The difference was statistically significant (P <0.05). Conclusion Urine microalbumin positive mothers have a higher incidence of adverse pregnancy outcomes than negative ones. Urine microalbumin is an important index for predicting adverse pregnancy outcomes in high risk pregnant women in the early stage, which needs clinical attention.