妊娠期糖尿病患者血糖水平对母体和新生儿结局的影响

Effect of blood glucose level on maternal and neonatal out-comes in patients with gestational diabetes

目的探讨妊娠期糖尿病患者的血糖水平对母体和新生儿结局的影响。方法将40例妊娠期糖尿病患者设为研究组,40名妊娠期健康孕妇设为对照组。比较两组孕妇空腹血糖和平均血糖水平,比较两组孕妇妊娠结局、产程及并发症发生率,比较两组新生儿并发症发生率。结果研究组空腹血糖及平均血糖水平均显著高于对照组(P<0.01),第一、第二及第三产程均显著长于对照组(P<0.01)。研究组正常分娩率显著低于对照组(P<0.05),孕妇并发症发生率及新生儿并发症发生率均显著高于对照组(P<0.05)。结论妊娠期糖尿病患者的血糖偏高,产程较长,孕妇及新生儿并发症发生率均较高。

Objective To investigate the effect of blood glucose level on maternal and neonatal outcomes in patients with gestational diabetes.Methods 40 patients with gestational diabetes were enrolled in the study group,40 healthy pregnant women in pregnancy were set as the control group.The fasting blood glucose and average blood glucose levels of the two groups were compared.The pregnancy outcome,labor course and complication rate of the two groups were compared.The incidence of neonatal complications was compared between the two groups.Results The fasting blood glucose and average blood glucose levels of the study group were significantly higher than those in the control group(P<0.01),the first,second and third stages of labor were significantly longer than those in the control group(P<0.01).The normal delivery rate of the study group was significantly lower than that of the control group(P<0.05).The incidence of maternal complications and neonatal complications were all significantly higher than those of the control group(P<0.05).Conclusion Patients with gestational diabetes have high blood sugar,long labor,and high incidence of complications in pregnant women and neo-nates.