摘要
目的研究妊娠期糖尿病(GDM)患者在分娩前测定胎肺成熟度的临床指导意义。方法选取2006年8月至2012年8月于我院就诊的86例GDM患者,根据患者血糖控制情况分为血糖控制良好组和控制不佳组,其中血糖控制良好组有48例,血糖控制不佳组有38例,并选取同期孕周的健康孕妇42例作为对照组。所有入选患者在分娩前均行羊水泡沫实验,观察对比3组患者胎肺成熟度差异。结果血糖控制良好的患者其胎肺成熟度与健康对照组相比无明显差异,但血糖控制不佳的患者其胎肺成熟度较健康对照组差。结论 GDM患者在血糖控制良好的情况下,其胎肺成熟度与健康孕妇一样,择期终止妊娠前不必行羊膜腔注射地塞米松促进胎肺成熟;而血糖控制不佳的孕妇其胎肺成熟度相对较差,择期终止妊娠前需要向羊膜腔注射地塞米松促进胎肺成熟。
Objective To study the clinical guiding significance of the determination of fetal lung maturity in gestational diabetic patients before deliver- y. Methods A total of 86 cases of patients diagnosed with gestational diabetes between August 2006 and August 2012 in hospital were chosen. According to their blood glucose control, patients were divided into good blood sugar control and poorly controlled group, among whom there were 48 cases in good blood glucose control group and 38 cases in poor blood sugar control group. Meanwhile, 42 cases of healthy preg- nant women in the same gestational age and period were selected as control group. All the patients were performed amniotic fluid bubble ex- periment before delivery, difference in fetal pulmonary maturation was contrasted among the three groups. Results Good blood glucose con- trol in patients with the fetal lung maturity has mo obvious difference compared with healthy controls , but poor blood glucose control in pa- tients with the fetal lung maturity compared with healthy controls. Conclusion The fetal lung maturity in good blood glucose control patients with gestational diabetes has no marked difference when compared with healthy pregnant women, and amniotic cavity injection of dexametha- sone to promote fetal lung maturity is not in need before the elective termination of pregnancy; however, compared with healthy pregnant women, poor sugar control patients have relatively poor fetal lung maturity, and thus amniotic cavity injection of dexamethasone was needed to promote fetal lung maturity before the elective termination of pregnancy.
出处
《安徽医学》
2013年第9期1296-1297,共2页
Anhui Medical Journal
关键词
妊娠
糖尿病
羊水泡沫实验
地塞米松
Pregnancy
Diabetes mellitus
Amniotic fluid bubble test
Dexamethasone
