妊娠期糖尿病孕妇血糖水平对新生儿体质量的影响

The Effect of Blood Glucose Levels on Weight of Newborns in Patients with Gestational Diabetes

目的探讨妊娠期糖尿病(GDM)孕妇产前血糖水平与新生儿体质量的关系。方法选取2012年6月—2014年6月在我院分娩的GDM孕妇97例为研究对象,按照随机数字表法分为严格组50例和宽松组47例,选择同期血糖正常的孕妇50例作为对照组,分析三组孕妇血糖水平与新生儿出生体质量的关系。结果对照组血糖水平、新生儿体质量以及巨大儿的发生率均明显低于宽松组和严格组(P<0.05);严格组的血糖水平、新生儿体质量以及巨大儿的发生率均明显低于宽松组(P<0.05);孕妇血糖水平与新生儿体质量存在显著的正相关(r=0.72,P<0.05)。结论产前孕妇血糖水平与新生儿体质量存在显著正相关,对GDM患者产前进行严格的血糖控制有助于降低巨大儿发生率,有利于母体和新生儿健康,在临床上值得推广。

OBJECTIVE To explore the relationship between level of blood glucose an birth weight in gestational diabetes（GDM）. METHODS 97 cases of patients were selected in our hospital with gestational diabetes from June 2012 to June 2014 as research objective, and they were randomly divided into strict group（50 cases） and loose group（47 cases） according to the random number table method, and 50 cases of health pregnant women were selected as control group. To analyze the relationship between level of blood glucose and birth weight. RESULTS The control group＇ s blood glucose level, weight of newborns and the incidence of macrosomia were significant lower than strict group＇s and loose group＇s（P〈0.05）. The strict group＇s blood glucose level, weight of newborns and the incidence of macrosomia were significant lower than the loose group＇ s（P〈0.05）. The pregnant women＇s blood glucose level were positively correlated with the birth weight（r=0.72, P〈0.05）. CONCLUSION The pregnant women＇s blood glucose level were positively correlated with the birth weight. Prenatal to strict glycemic control in patients with GDM was helpful to reduce the incidence of macrosomia and advantageous to the health of pregnant woman and newborn, which was worth promoting to the clinical field.