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目的探讨孕37周后分娩孕周对未行管理的妊娠期糖尿病(gestational diabetes mellitus,GDM)分娩结局的影响。方法对2011年度在首都医科大学北京妇产医院产检并分娩的孕妇分组,分析妊娠期并发症、胎儿结局及分娩方式的差异。结果Ⅰ组(37~38+6周)内妊娠期高血压疾病发病率、胎儿窘迫发生率及大于胎龄儿发生率研究组高于对照组(P<0.05);Ⅱ组(39~39+6周)及Ⅲ组(40~40+6周)内初次剖宫产率研究组高于对照组(P<0.05);Ⅲ组内胎儿窘迫率及大于胎龄儿发生率研究组高于对照组(P<0.05);研究组间Ⅱ组的妊娠期高血压疾病发生率均明显低于其他各组,与Ⅰ组比较差异有统计学意义(P<0.05);Ⅰ组的初次剖宫产率与其他各组比较差异有统计学意义(P<0.05);胎儿窘迫发生率随孕周增加呈上升趋势,各组比较差异有统计学意义(P<0.05)。结论未行血糖控制的GDM孕妇在孕39~41周间分娩,母儿并发症发生率较低。
Objective To investigate the effect of gestational weeks of gestation on gestational diabetes mellitus (GDM) delivery outcomes after 37 weeks of gestation. Methods 2011 pregnant women at the Beijing Maternity Hospital of Capital Medical University during childbirth and childbirth were divided into groups to analyze the differences in gestational complications, fetal outcomes and modes of delivery. Results The incidence of hypertensive disorder complicating pregnancy, the incidence of fetal distress and the incidence of fetal distress in group Ⅰ (37 ~ 38 + 6 weeks) were significantly higher than those in control group (P <0.05) 6 weeks) and Ⅲ (40 ~ 40 + 6 weeks) in the study group were significantly higher than those in the control group (P <0.05). In the group Ⅲ, the fetal distress rate and the incidence of fetal distress were higher in the study group than in the control group (P <0.05). The incidence of Hypertensive disorder in group Ⅱ was significantly lower than that in other groups (P <0.05), while the incidence of first cesarean section in Group Ⅰ (P <0.05). The incidence of fetal distress increased with gestational age, the difference was statistically significant (P <0.05). Conclusion GDM pregnant women without blood glucose control have their childbirth between 39 and 41 weeks of gestation, and the incidence of maternal and child complications is low.