综合治疗妊娠期糖尿病患者的分娩结局分析

Analysis of Delivery Outcomes in Patients with Gestational Diabetes

目的对综合治疗妊娠期糖尿病患者的分娩结局进行分析。方法方便选取该院2016年8月—2017年9月收治的40例妊娠期糖尿病患者为研究对象,将其作为实验组,同时选择同期40例妊娠正常孕妇作为对照组,进行对照研究。其中对照组患者进行常规的门诊产前检查,不进行治疗干预;观察组则给予综合治疗;对两组患者治疗前后血糖变化及分娩方式和围生儿结局进行观察与比较。结果经治疗后,实验组患者血糖指标FPG从(8.74±3.11)mmol/L降低至(4.81±0.64)mmol/L(t=12.453,P<0.05),2 hPG从(9.14±3.57)mmol/L降低至(7.16±1.12)mmol/L (t=13.687,P<0.05);在阴道分娩率上,实验组组与对照组分别为57.5%、62.5%,两组差异无统计学意义(χ~2=0.451,P>0.05);在围生儿结局上,实验组与对照组新生儿窒息率均为2.5%(χ~2=0.125,P>0.05),早产率分别为5.0%、2.5%(χ~2=0.341,P>0.05),巨大儿发生率分别为7.5%、10.0%(χ~2=0.412,P>0.05),新生儿呼吸窘迫综合征发生率分别为2.5%、5.0%(χ~2=20.364,P>0.05)。结论对妊娠期糖尿病患者采取综合性治疗可以有效改善患者的血糖,并改善患者妊娠结局,具有较大临床使用价值,值得临床推广应用。

Objective To analyze the outcome of delivery in patients with gestational diabetes. Methods 40 patients with gestational diabetes mellitus admitted to our hospital from August 2016 to September 2017 were convenient enrolled in the study group. At the same time, 40 pregnant women with normal pregnancy were selected as the control group for the study.The control group received routine outpatient antenatal examination without treatment intervention;the observation group received comprehensive treatment;the two groups of patients before and after treatment, blood glucose changes, delivery mode and perinatal outcomes were observed and compared. Results After treatment, the blood glucose index FPG of the experimental group decreased from(8.74 ±3.11)mmol/L to(4.81 ±0.64)mmol/L(t=12.453, P<0.05), and the 2 hPG decreased from(9.14±3.57)mmol/L to(7.16±1.12)mmol/L(t=13.687, P<0.05). In the vaginal delivery rate, the experimental group and the control group were 57.5%, 62.5%, respectively, the difference between the two groups was not significant, no statistical significance(χ^2=0.451, P>0.05);in the perinatal outcome, the experimental group and the neonatal asphyxia rate in the control group was 2.5%(χ^2=0.125, P>0.05), the preterm birth rate was 5.0%, 2.5%(χ^2=0.341, P>0.05), and the incidence of giant infants was 7.5% and 10.0%, respectively(χ^2=0.412, P>0.05), the incidence of neonatal respiratory distress syndrome was2.5%, 5.0%(χ^2=0.364, P>0.05). Conclusion Comprehensive treatment of gestational diabetes patients can effectively improve patients’ blood glucose and improve their pregnancy outcomes. It has great clinical value and is worthy of clinical application.