妊娠期糖尿病患者孕期血糖监测与妊娠结局分析

Analysis of blood glucose monitoring during pregnancy and pregnancy outcome in patients with gestatlonal diabetes mellitus

目的探讨妊娠期糖尿病患者血糖控制对妊娠结局的影响。方法分析2007年7月至2008年7月住院分娩的153例妊娠期糖尿病患者，74例孕期血糖控制满意（A组），79例控制不满意（B组），将两组妊娠结局进行比较分析。结果A组子痫前期、羊水过多、巨大儿、新生儿低血糖、新生儿高胆红素血症发生率低于B组（分别为5．41％比17．72％、4．05％比20．25％、12．16％比31．65％、5．41％比20．25％、8．11％比30．38％）（P〈0．05）；A组胎膜早破、早产、产后出血、胎儿宫内窘迫发生率低于B组，但两组比较差异无统计学意义。结论妊娠期糖尿病对母婴近、远期危害大，孕期控制好血糖可减少母婴并发症。

Objective To discuss the effect of blood glucose monitoring during pregnancy and pregnancy outcome in patients with gestational diabetes meUitus （GDM）. Methods One hundred and fifty-three GDM patients from July 2007 to July 2008 were analysed.The cases were divided into satisfactory group （74 cases）and unsatisfactory group （79 cases） based on the level of blood glucose and compared the pregnancy outcome between the two groups. Results The incidences of pre-eclampsia, polyhydramnios, macrosomia, neonatal hypoglycemia, hyperbilirubinemia of satisfactory group were lower than those of unsatisfactory group（5.41% vs 17.72%,4.05% vs 20.25%, 12.16% vs 31.65%,5.41% vs 20.25%,8.11% vs 30.38% ）. The difference is statistically significant （P 〈0.05）. The incidence of premature rupture of membranes, premature birth, postpartum hemorrhage, fetal distress of satisfactory group were lower than those of unsatisfactory group, but there was no significant difference between the two groups. Conclusion GDM can cause great harm to maternal and child health, and satisfactory blood glucose control during pregnancy may reduce maternal and child complications.