不同孕周住院监护对妊娠期糖尿病孕妇母婴妊娠结局的影响

Effects of different gestational weeks hospitalized custody on maternal and fetal outcomes in pregnant women with gestational diabetes mellitus

目的分析不同孕周住院监护对妊娠期糖尿病(GDM)孕妇母婴妊娠结局的影响。方法选择我院2015年12月~2016年12月收治的200例GDM孕妇作为本次的研究对象,依照孕周的不同分为常规组与实验组,每组均占据100例,其中常规组孕周≥38周,实验组孕周在35~37周之间,比较两组孕妇母婴妊娠结局。结果两组孕妇在胎膜早破、产后出血、感染、羊水过多、妊娠期高血压方面差异无统计学意义,比较两组孕妇血糖水平差异无统计学意义(P>0.05),但是实验组胎儿宫内窘迫发生率明显低于常规组,差异有统计学意义(P<0.05);实验组孕妇早餐后2h的血糖水平相比常规组明显较低,差异有统计学意义(P<0.05)。结论应对妊娠期妇女加强糖尿病的筛查工作,做到早发现、早干预,给予持续的血糖控制措施,改善妊娠结局。

Objective To analyze the effects of different gestational weeks hospitalized custody on maternal and fetal outcomes in pregnant women with gestational diabetes mellitus （GDM）. Methods 200 pregnant women with GDM cured in our hospital from December 2015 to December 2016 were selected and divided into routine group and experimental group according to the different gestational weeks with 100 cases in each. The pregnant.women whose gestati0nal weeks t〉 38 weeks were routine group, and pregnant women whose gestational weeks within 35-37 weeks were experimental group. Pregnancy outcome of two groups of pregnant women were compared. Results There was no significant difference in premature rupture of membranes, postpartum hemorrhage, infection, excessive amniotic fluid, gestational hypertension between the two groups（P 〉 0.05）. The incidence of fetal distress in the experimental group was significantly lower than that in the conventional group, the difference was statistically significant （P 〈 0.05）. The blood glucose level of 2h in the experimental group was lower than that in the conventional group after breakfast, the difference was statistically significant （P 〈 0.05）. Conclusion It needs to strengthen the screening of diabetes for for pregnant women. Early detection and early intervention. Continuous glycemic control measures should carried to improve pregnancy outcomes.