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1、非妊娠期糖尿病巨大儿临床分析［摘要］目的探讨非妊娠期糖尿病巨大儿的临床特征及相关因素分析。方法整群选择2012年6月一2014年6月在该院出生的非妊娠期糖尿病巨大儿和母亲270例，随机选择同期分娩的270例正常体重儿或母亲HI顾性对照分析。结果非妊娠期糖尿病巨大儿平均胎龄、BPD、FL、AC、身长、体重分别为280.90d、9.73cm、7.41cm、35.61cm、51.55cm、4170g,明显高于对照组的270d、9.38cm、7.09cm、32.60cm、48.20cm.3580g,巨大儿组男性180例，多于对照组的119例；巨大儿母亲的孕期体重增长17.86kg,高于对照
2、组的15.63kg；巨大儿组产程进展及枕位异常100例、产后出血68例、剖宫产127例，而对照组分别为38例、22例及47例。结论非妊娠期糖尿病巨大儿以男性居多，其发生与母亲孕期体重增长、宫高、腹围因素冇关，并导致母亲分娩过程屮产程进展异常发生率、产后出血率、剖宫产率显著增加，积极预防非糖尿病巨大儿的发生是提高产科质量的重要措施。［关键词］巨大儿；非妊娠期糖尿病；宫高；腹闱［中图分类号］R587.1［文献标识码］A［文章编号］1674-0742(2015)05(b)-0043-02ClinicalAnlysisofNon-gestationalDiabetesMacrosomiaF
3、ENGXiu-minDepartmentofGynecologyandObstetrics,TieyingHospitalofFengtaiDistrict,Beijing,100079China[Abstract]ObjectiveInthispaper,theclinicalcharacteristicsandrelatedfactorsofnon-gestationaldiabetesmacrosomiawasexplored.Methods270casesofnon一gestationaldiabetesmacrosomia(ormother)bornduringJune2
4、012-June2014werecomparedwith270caseswithnormal-birth-weightnewbornrandomlyselectedinthesameperiodfortheretrospectivecase-controlstudyinourhospital.ResultsTheaveragegestationalage,BPD,FL,AC,bodylength,bodyweightwere280.90days,9.73cm,7.41cm,35.61cm,51.55cm,4170grams,apparentlyhigherthan270days,9
5、.38cm,7.09cm,32.60cm,48.20cm,3580gramsofthecontrolgrouprespectively；therewere180casesofmaleinmacrosomiagroup,morethanthe119casesinthecontrolgroup.Themother'spregnancyweightgainwas17.86kilograms,whichwasmorethan15.63kilogramsofthecontrolgroup・Therewere100caseslaborprogressandpillowabnormalities
6、,68casespostpartumhemorrhage,127casescesareansectioninmacrosomiagroup,whileinthecontrolgrouptherewere38cases,22casesand47casesrespectively.ConelusionThemaleareinthemajorityinthenon-gestationaldiabetesmacrosomia,theirincidenceswererelatedtotheirmotherrs，weightgain,uterineheight,andabdomencircum
7、ference,whichledtothehighrateofabnormalprogressduringthestagesoflabor,postpartumhemorrhageandratioofcesareansectiondeliverysignificantly.So,positivelypreventthehappeningofthediabeticmacrosomiaisoneoftheimportantmeasurestoimprovethequali
