妊娠期糖尿病临床治疗及其对妊娠结局的关系研究

Research of clinical treatment for gestational diabetes mellitus and its relationship with pregnancy outcome

目的探讨妊娠期糖尿病临床治疗方法 ,并分析与妊娠结局的关系。方法 60例妊娠期糖尿病孕妇为研究对象,将其随机分为研究组与对照组,每组30例。研究组为入院治疗的孕妇,对照组为同期未入院治疗的孕妇。给予研究组孕妇饮食指导、胰岛素、控制血糖等对症治疗,比较两组围生儿并发症发生率及孕妇分娩方式。结果研究组围生儿并发症发生率为10.0%,明显低于对照组的63.3%,差异有统计学意义(P<0.05)。研究组顺产率为60.0%,明显高于对照组的23.3%(P<0.05);研究组剖宫产率为40.0%,明显低于对照组的76.7%,差异有统计学意义(P<0.05)。结论及时诊断妊娠期糖尿病并入院治疗,能有效控制孕妇血糖,降低围生儿并发症发生率,改善孕妇分娩方式。

Objective To investigate clinical treatment methods for gestational diabetes mellitus, and to analyze its relationship with pregnancy outcome. Methods A total of 60 pregnant women with gestational diabetes mellitus as the study subjects were randomly divided into research group and control group, with 30 cases in each group. The research group contained pregnant women treated in hospital, and control group contained pregnant women at the same period not in hospital. Symptomatic treatment of diet guide, insulin, and blood glucose control was given to the research group. Comparison was made on complications of perinatal infant and delivery ways between the two groups. Results The research group had incidence of complications of perinatal infant as 10.0%, which was much lower than 63.3% of the control group, and the difference had statistical significance（P〈0.05）. Eutocia rate was 60.0% in the research group, and that was much higher than 23.3% in the control group（P〈0.05）; The research group also had lower caesarean section rate as 40.0% than 76.7% of the control group, and the differences had statistical significance（P〈0.05）. Conclusion Timely diagnosis and treatment for gestational diabetes mellitus can effectively control blood glucose in pregnant women, reduce perinetal complications, and improve delivery ways.