妊娠期糖尿病与母儿预后临床分析

Study on the gestational diabetes mellitus(GDM) and pragnancy prognosis

目的:探讨妊娠期糖尿病(GDM)对母体并发症、围生儿结局的影响及科学控制血糖与母婴预后的关系。方法:通过对58例妊娠期糖尿病(GDM)患者的临床资料分析,根据血糖控制理想与否分为两组:血糖控制理想组A组(40例)血糖控制不理想组B组(18例),观察GDM孕产妇并发症及围生儿并发症的情况。结果:血糖控制理想组的GDM孕产妇妊高征、胎膜早破、胎儿窘迫、早产、新生儿低血糖、巨大儿的发生率显着低于血糖控制不理想组,两组比较差异有显著意义。结论:重视孕期糖筛查可以尽早诊断妊娠期糖尿病,积极科学合理控制血糖水平,可以降低GDM孕产妇和围生儿并发症的发生率。

Objective： To evaluate the gestational diabetes mellitus （GDM） on the maternal complications and the impact on perinatal outcome, and scientific control of blood glucose and maternal prognosis. Methods ： Analyzed the clinical data of 58cases of gestational diabetes mellitus （GDM） patients, who were divided into two groups based on if they achieved a desirable level of blood glucose control： （1） Group A - good blood glucose control group （40 cases） ; Group B （18 cases） Glucose control was not good. We conducted the analysis about the association between GDM maternal complications and perinatal complications. Results： GDM maternal pregnancy -induced hypertension, premature rupture of membranes, fetal distress, premature birth, neonatal hypoglycemia, the incidence of macrosomia in Group A was greatly lower than the values in Group B, and the difference between the two groups is statistically significant. Conclusion： Blood glucose screening during pregnancy is important. Gestational diabetes can be diagnosed as early as possible. Through the scientific approach of controlling of blood glucose levels proactively, the GDM maternal and perinatal complications incidence can be reduced.