妊娠合并糖尿病对新生儿多项检测的影响研究

目的]探讨妊娠合并糖尿病对新生儿血糖、胰岛素、胰岛素样生长因子-I(IGF-I)及一般情况的影响。方法]将182例合并糖尿病孕妇分娩的新生儿设为观察者,将同期182例正常孕妇分娩的新生儿设为对照组,比较2组新生儿的一般情况、1h内空腹血糖、胰岛素、IGF-I的水平。结果]2组早产儿与窒息的发生率比较差异无统计学意义(P﹥0.05),观察组大于胎龄儿与呼吸窘迫综合症的发生率均显著高于对照组(P﹤0.05)。观察组新生儿血糖显著低于对照组(P﹤0.05),而胰岛素、IGF-I显著高于对照组(P﹤0.05)。结论]妊娠期间合并糖尿病容易造成大于胎龄儿、呼吸窘迫综合症及新生儿血糖降低,应做好妊娠晚期的监测,且产后及时监测新生儿的血糖,以预防发生低血糖。

RESEARCH OF MULTINOMIAL EFFECT OF NEWBORNS IN PREGNANCY WITH DIABETES

Objective]To discuss influence of pregnancy with diabetes to neonatal blood glucose,insulin,insulin-like growth factor I(IGF-I)and general condition.Methods]Observer group were 182 cases neonatal of pregnant with diabetes,and control group were 182 cases neonatal of normal pregnant in the corresponding period.We compared neonatal generally,1h in fasting plasma glucose and insulin,IGF-I levels of two groups.Results]There was no significant difference in the incidence of premature and choking in two groups...