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Updated: Jan 14, 2026

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在饮食控制的妊娠糖尿病中,围破伤和产科关节损伤:一项大型队列研究

Tamar Eshkoli¹, Karin Amit¹, Adva Bugaiski-Shaked¹

¹Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

American journal of perinatology

|October 16, 2025

概括

饮食控制的孕期糖尿病 (GDMA1) 与周围的轻微增加有关,主要是第一级撕裂. 然而,GDMA1并没有显著增加严重围外伤的风险,包括产科关节损伤.

科学领域:

产科和妇科产科和妇科
孕产妇和胎儿医学孕产妇和胎儿医学
生殖健康生殖健康

背景情况:

周围的撕裂是常见的产科并发症.
孕期糖尿病 (GDM) 与不良的妊娠结果有关.
饮食控制的GDM (GDMA1) 对围损伤的影响尚不清楚.

研究的目的:

调查GDMA1与阴道分娩期间围破伤的发生率和严重程度之间的关联.
为了确定GDMA1是否独立增加周围裂或产科关节损伤 (OASIS) 的风险.

主要方法:

基于人口的回顾性队列研究 (1988-2016) 在三级医疗中心.
包括250,171次阴道分娩;与没有糖尿病的女性相比,患有GDMA1的女性 (n=9,640).
使用单变量和多变量分析分析了周围裂的发生率和严重程度,并对混因素进行了调整.

主要成果:

患有GDMA1的妇女有更高的仪器分娩率,表皮切割和更大的新生儿.
在GDMA1组中,围破伤更为频繁 (21.2%对18.8%,p < 0.001),主要是第一级撕裂.
GDMA1独立地与周围裂风险的适度增加有关 (OR = 1.12),但不是OASIS.

结论:

GDMA1与周围损伤的轻微增加有关,主要是第一级撕裂.
GDMA1并没有显著增加严重周围创伤或OASIS的风险.
患有GDMA1的妇女可以放心地担心严重的周周创伤风险;个性化分娩管理至关重要.

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