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目的探究A1级妊娠期糖尿病(GDM)患者的最佳分娩时机。方法 210例A1级GDM分娩患者,按照孕周不同分为A组(孕周39~40周)、B组(孕周40~41周)和C组(孕周41~42周),各70例。分析对比三组患者的体质量指数(BMI)及妊娠结局。结果A组患者BMI为(21.55±1.62)kg/m~2,B组为(20.22±1.78)kg/m~2,C组为(21.35±1.68)kg/m~2,三组BMI比较差异无统计学意义(P>0.05);三组患者妊娠结局比较,差异有统计学意义(P<0.05)。结论 A1级GDM患者易出现羊水过少、胎膜早破、围生儿窒息等问题,临床应把握最佳分娩时机,有效预防不良妊娠结局的发生。
Objective To explore the optimal timing of delivery in patients with grade A1 gestational diabetes mellitus (GDM). Methods A total of 210 patients with stage A1 GDM at delivery were divided into group A (39-40 weeks gestational age), group B (gestational age 40-41 weeks) and group C (gestational age 41-42 weeks) example. Analysis and comparison of three groups of patients with body mass index (BMI) and pregnancy outcomes. Results The BMI in group A was (21.55 ± 1.62) kg / m 2, that in group B was (20.22 ± 1.78) kg / m 2, that in group C was (21.35 ± 1.68) kg / m 2, There was no statistical significance (P> 0.05). The pregnancy outcomes in the three groups were statistically significant (P <0.05). Conclusions Grade A1 GDM patients are prone to oligohydramnios, premature rupture of membranes and perinatal asphyxia. Clinic should grasp the optimal timing of delivery and effectively prevent the occurrence of adverse pregnancy outcomes.