妊娠期糖尿病患者的血糖控制效果对妊娠结局的影响

Impact on pregnancy outcomes effect of blood hlucose control in gestational diabetes

目的探讨针对妊娠期糖尿病患者开展血糖控制的效果及其与母婴妊娠结局的相关性。方法回顾性分析本院2011年3月-2014年3月收治的妊娠期糖尿病孕产妇134例,依据患者的实际血糖控制效果分为对照组78例与观察组56例,观察组孕产妇血糖控制情况较差,对照组孕产妇血糖控制较好。针对两组样本的分娩方式以及分娩后并发症进行统计学分析比较。结果观察组产妇阴道分娩率为46.4%,对照组为74.4%,两组比较差异具有统计学意义(P<0.05)。观察组围产期产妇的羊水过多发生率为19.6%,妊娠高血压综合征发生率为25.0%,胎膜早破发生率为30.4%,产后出血发生率为17.9%,新生儿中早产儿发生率32.1%,胎儿窘迫发生率21.4%,巨大儿发生率32.1%,新生儿窒息发生率26.8%,均显著高于对照组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病患者保持良好的血糖控制效果可显著提高围产期母婴安全程度,应充分重视早期检测血糖,采取治疗干预措施,促进血糖水平稳定,改善分娩结局。

Objective To investigate the correlation between pregnancy outcomes and effect of blood glucose control .Meth-ods Retrospective analysis on 134 patients with gestational diabetes in our hospital from March 2011 to March 2014.Based on the ac-tual effect of blood glucose control in patients were divided into control group （n=78） and observation group （n=56）.The effect of glucose control was worse in observation group , and another group had better effect .Compared and analyzed statistically the delivery mode and complications after childbirth between the two groups .Results The vaginal delivery rate was 46.4%in observation group, compared with control group （74.4%） had statistical significance （P〈0.05）.Simultaneously, the incidence of polyhydramnios was 19.6%, pregnancy hypertension was 25.0%, premature rupture of membranes was 30.4%, postpartum hemorrhage was 17.9%, pre-term was 32.1%, fetal distress was 21.4%, macrosomia was 32.1%, neonatal asphyxia was 26.8%in observation group , which were significantly higher than that in control group （P〈0.05）.Conclusion Excellent glucose control effect can significantly improve safe-ty degree of maternal and perinatal .The clinician need to pay full attention to early detection and treatment interventions , promoting stability of blood glucose level thus improving pregnancy outcomes .