妊娠期糖尿病孕妇血糖控制对妊娠结局的影响

Gestational diabetes blood sugar control effects on pregnancy outcome

目的:探讨妊娠期糖尿病孕妇血糖的控制对母体、围生儿并发症和妊娠结局的影响。方法:对定期产前检查的80例妊娠期糖尿病孕妇入院资料进行分析,医护人员将孕妇分为两组,每组有40例孕妇。对照组孕妇在妊娠期血糖控制不满意,试验组孕妇在妊娠期对血糖控制满意,比较两组的妊娠期高血压疾病、羊水过多、剖宫产、巨大儿、早产等情况。结果:试验组孕妇中1例孕妇发生妊娠期高血压疾病,2例孕妇发生感染,1例孕妇产后出血,2例孕妇羊水过多,其剖宫产率为20%,均低于对照组孕妇(剖宫产率为37.5%);试验组孕妇中有2例孕妇早产儿,1例患儿胎儿窘迫,2例患儿新生儿低血糖,低于对照组孕妇。结论:临床上,医护人员要重视血糖筛查,及时诊断妊娠期糖尿病,有效控制血糖,能够有效的改善产妇妊娠结局,减轻孕妇及其新生儿围生期并发症的发生率。

Objective To investigate the maternal blood glucose control stage of diabetic pregnancy on maternal,perinatal complications andpregnancy outcome of perinatal.Methods Regular antenatal examination of pregnant women in 80 cases of gestational diabetes mellitus pregnant women admitted to analyze data of pregnancy,staff will be pregnant women were divided into two groups,each group has 40 cases of pregnant women.The control group in pregnant women blood glucose control is notsatis factory,the experimental group during pregnancy on blood glucose controlwith amniotic fluid,compared with two groups of hypertensive disorder complicating pregnancy,excessive,cesarean section,premature delivery,fetal macrosomia etc.Results The experimental group 1 cases of pregnant women in pregnancy hypertension disorder complicating pregnancy,2 cases of pregnant women infected pregnant women,1 cases of postpartum hemorrhage,2 cases of pregnant women hydramnios,the cesarean section rate was 20%,was lower than that of the control group（pregnant women with cesarean section rate was 37.5%）;2 pregnant women with preterm pregnant women in experimental group,1 cases of fetal distress,2 cases with neonatal hypoglycemia,lower than that of the control group of pregnant women.Conclusion The clinical,medical personnel should pay attention to glucosescreening,diagnosis of gestational diabetes mellitus,effective control of blood glucose,can effectively improve maternal outcome of pregnancy,reduce the incidence of peri operative complications of pregnant women and their newborns.