妊娠期糖尿病产妇分娩的新生儿发生低血糖的产科因素分析

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目的探讨妊娠期糖尿病产妇分娩的新生儿发生低血糖的产科因素。方法选取2014年1月-2015年1月该院诊断的妊娠期糖尿病患者108例为研究对象,所有产妇均顺利生产,其中低血糖新生儿(36例)为观察组、血糖正常新生儿(72例)为对照组。分析两组产妇和新生儿的临床资料,探讨影响低血糖的产科因素。结果单因素结果提示,两组产妇血糖控制、早产儿、低体温、低体重和喂养合理性存在显著性差异(P<0.05),组间产妇年龄、产次、分娩方式、新生儿性别无显著性差异(P>0.05)。Logistic多因素回顾分析提示,产妇血糖控制、早产儿、低体温、低体重和喂养合理性是新生儿低血糖发生的危险因素(P<0.05)。结论产科危险因素预防和管理是减少新生儿低血糖的重要保障。 Objective To investigate the obstetric factors of hypoglycemia in neonates with gestational diabetes mellitus during childbirth. Methods A total of 108 cases of gestational diabetes mellitus diagnosed in our hospital from January 2014 to January 2015 were selected and all the mothers were successfully delivered. The neonates with hypoglycemia (36 cases) were observed, and the neonates with hypoglycemia (72 cases) Example) for the control group. Analysis of two groups of maternal and neonatal clinical data to explore the impact of hypoglycemia obstetric factors. Results The results of single factor test showed that there were significant differences in maternal blood sugar control, premature infant, hypothermia, low body weight and feeding rationality between the two groups (P <0.05). There was no significant difference in maternal age, parity, mode of delivery and neonatal sex Sex differences (P> 0.05). Logistic regression analysis indicated that maternal blood glucose control, preterm birth, hypothermia, low body weight and feeding rationality were the risk factors of hypoglycemia (P <0.05). Conclusion Prevention and management of obstetric risk factors is an important guarantee to reduce neonatal hypoglycemia.
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