妊娠期糖尿病干预的相关性分析

Relative analysis on the intervention of gestational diabetes

目的探讨妊娠期糖尿病血糖控制对妊娠母儿结局的影响。方法对在本院住院分娩的糖尿病孕妇148例的临床资料进行回顾性分析，根据血糖控制情况分成血糖控制满意组（A组）、血糖控制不满意组（B组），对两组孕妇的妊娠结局、妊娠并发症及新生儿结局进行比较。结果血糖控制不满意组孕妇羊水过多（33．93％vs．14．13％）、巨大儿（32．14％vs．9．78％）、胎儿窘迫、妊娠高血压疾病（16．07％vs．6．52％）、胎膜早破（37．50％vs．17．39％）、胎儿畸形（7．14％vs．2．17％）、早产（16．07％vs．7．60％）及剖宫产率（64．29％vs 36．96％）均高于正常组，差异均有显著性（P〈0．05），结论妊娠期糖尿病是影响孕妇及围生儿结局，导致母婴严重并发症的重要因素；应加强血糖筛查的宣传，对所有孕妇进行糖筛查，对妊娠期糖尿病孕妇进行早期规范治疗，可减少妊娠期糖尿病对母儿的不良影响，改善围产儿预后。

Objective To explore the influence on the pregnant and new born of gestational diabetes blood sugar control. Methods Retrospectively analyzed the clinical data of of 148 pregnant women with diabete who were delivered in our hospital. According to blood sugar control situation, divided them into glucose control satisfied group （group A） and glucose control dissatisfied group （group B）. The pregnant outcomes, pregnancy complications, and neonatal outcome of the women in both group were compared. Results Blood sugar control dissatisfied group＇s hydramnios, Macrosomia, fetal distress, pregnancy-induced hypertension disease, tire premature rupture of membrane, fetal malformation, preterm delivery, and cesarean section rate were higher than normal group＇s. Difference was significant （P〈 0.05）. conclusions Gestational diabetes is the outcome of the effect of pregnant women and perinatals; it is the important factor that causes serious complications of the pregnant and infant. We should strengthen blood sugar control propaganda, screen blood glucose for all pregnant women, give gestational diabetes pregnant women early standardized treatment. This can reduce the adverse impact of the pregnant and infants that causes by gestational diabetes and improve the prognosis of the newborn.