妊娠期糖尿病胎儿生长受限临床分析

Clinical Analysis of Fetal Growth Restriction in Gestational Diabetes

目的探讨妊娠期糖尿病胎儿生长受限的原因和治疗。方法选取该院2017年7月—2018年7月收治的妊娠期糖尿病FGR产妇54例,随机分为两组各27例,观察组给予强化治疗,对照组给予常规治疗,比较血糖及胎儿情况。结果观察组FPG、2h PG显著低于对照组(P<0.05);宫高增长、胎儿生长、新生儿Apgar评分、体重增加情况明显高于对照组(P<0.05)。结论加强妊娠期糖尿病管理,控制血糖,早治疗,进而促进胎儿发育,改善预后。

Objective To investigate the causes and treatment of fetal growth restriction in gestational diabetes mellitus.Methods A total of54women with gestational diabetes mellitus who were admitted to our department from July2017to July2018were randomly divided into two groups:27patients each.The observation group received intensive treatment.The control group received routine treatment to compare blood sugar and fetal conditions.Results The FPG and2hPG in the observation group were significantly lower than those in the control group(P<0.05).The increase of uterus height,fetal growth,Apgar score and weight gain of the newborn were significantly higher than those of the control group(P<0.05).Conclusion Strengthening the management of gestational diabetes,controlling blood glucose,early treatment can promote fetal development and improve prognosis.