妊娠期糖尿病高危因素孕妇早期治疗的研究

Study on Early Treatment of Pregnant Women with High Risk Factors of Gestational Diabetes Mellitus

目的：研究妊娠期糖尿病高危因素孕妇早期治疗分析。方法：选取某院2014年7月-2015年6月期间的60例妊娠期糖尿病患者作为本次研究的观察组（年龄20-71岁,平均（25.6±3.6）岁;孕期为24-27周,平均（25.8±1.5）周）,同时选取70例同期正常妊娠孕妇作为对照组（年龄20-71岁,平均（25.6±3.6）岁;孕期为24-27周,平均（25.6±1.4）周）,两组患者的年龄身高以及妊娠前体重指数等,均进行检测分析。结果：两组数据经比较后,妊娠糖尿病患者的年龄明显偏高,孕前和分娩后体重指数也比普通孕妇要高,其心脏收缩压和舒张压以及空腹和用餐后两小时的血糖水平均有显著升高,经和对照组的对比后,实验组的收缩压和舒张压以及空腹和餐后的血样本检测,其各平均数据均比对照组高,观察组患者中收缩压（144.1±13.1）,对照组为（116.4±10.3）,观察舒张压（97.1±6.1）,对照组（77.5±4.3）,空腹血糖情况观察组为（7.0±2.1）,对照组为（5.1±2.2）,产后2h血糖检测结果显示观察组为（13.7±1.1）,对照组为（5.1±1.1）,经比较,P〈0.05,经数据分析后,其统计学差异显著（P〈0.05）。经多因素Logistic的回归线性分析显示,年龄和孕前的体重指数分析,分娩期BMI的增长率和妊娠糖尿病病症研究有相关,且强于普通孕妇。结论：对妊娠糖尿病患者的高危因素分析,应高度重视,做到早诊断早治疗。

Objective：To study the early treatment of pregnant women with high risk factors of gestational diabetes mellitus.Methods：60cases of gestational diabetes mellitus patients in our hospital from July2014 to June 2015 were selected as observation group（age 20-71,average（25.6±3.6）years,pregnancy24-27weeks average（25.8±1.5）weeks）,and 70 cases of normal pregnant women in the same period were selected as control group（age 20-71,average（25.6±3.6）years,pregnancy 24-27weeks,average（25.6±1.4）weeks）.The age,height and body mass index before pregnancy of two groups were detected and analyzed.Results：Compared the data of two groups,the age and index of pregnancy and birth weight was significantly higher in patients with gestational diabetes mellitus,and the systolic blood pressure,diastolic blood pressure and fasting and blood glucose levels before after meal in two hours were significantly increased.Compared with control group,the average data of contraction pressure and diastolic blood pressure,fasting and postprandial blood samples of observation group were higher than those of control group.The systolic blood pressure of observation group was（144.1±13.1）,the control group was（116.4 ±10.3;The diastolic blood pressure of observation group was（97.1±6.1）,and the control group was（77.5±4.3）;The fasting blood glucose group of observation group was（7±2.1）,the control group was（5.1±2.2）;The postpartum 2H blood glucose test results showed that the observation group was（13.7±1.1）,and the control group was（5.1±1.1）.The difference was statistically significant（P〈0.05）.The multivariate logistic regression analysis showed that age and pre pregnancy body mass index analysis,pregnancy BMI growth rate were relevant with gestational diabetes mellitus disease research,which were stronger than those of normal pregnant women.Conclusion：The risk factors of gestational diabetes patients should be paid hign attention and achieve early diagnosis and early treatment.