妊娠期糖尿病围生期管理对母婴结局的影响

The Effect of Perinatal Management of Gestational Diabetes on Maternal and Fetal Outcomes

目的探讨围生期管理对妊娠期糖尿病孕产妇母婴结局的影响。方法选择我院于2018年3—12月收治的妊娠期糖尿病孕产妇78例作为研究对象。以孕产妇的就诊顺序以及就诊日期的奇偶性为参考,将其划分为观察组(39例)以及对照组(39例)。对照组孕产妇接受常规治疗及护理;观察组孕产妇在对照组孕产妇的治疗、护理方案为基础上,接受围生期管理。对比两组孕产妇的母婴结局。结果观察组孕产妇出现孕期感染、羊水过多、急性并发症以及妊娠期高血压等不良结局的数据,与对照组孕产妇比较,差异具有统计学意义(χ^2=7.885,P<0.05);而观察组围生儿出现巨大儿、新生儿低血糖、新生儿窒息、呼吸窘迫等不良结局的概率为10.26%,低于对照组围生儿的25.64%,组间数据比较,差异具有统计学意义(χ^2=4.044,P<0.05)。结论对妊娠期糖尿病孕产妇行围生期管理方案,可以有效降低孕产妇以及围生儿出现不良结局的风险,为母婴的健康与安全提供保障。

Objective To investigate the effect of perinatal management on maternal and fetal outcomes in pregnant women with gestational diabetes. Methods 78 pregnant and lying-in women with gestational diabetes mellitus admitted to our hospital from March to December 2018 were selected as the research objects. Referring to the parity of the visiting order and date of pregnant and lying-in women, they were divided into observation group (39 cases) and control group (39 cases). The control group received routine treatment and nursing. The pregnant and lying-in women in the observation group received perinatal management on the basis of the treatment and nursing plan of the pregnant and lying-in women in the control group. Maternal and infant outcomes were compared between the two groups. Results The data of adverse outcomes of pregnancy infection, polyhydramnios, acute complications and pregnancy-induced hypertension in the observation group were significantly different from those in the control group (χ^2=7.885, P<0.05). The probability of perinatal macrosomia, neonatal hypoglycemia, neonatal asphyxia, respiratory distress and other adverse outcomes in the observation group was 10.26%, which was lower than 25.64% in the control group. There was significant difference between the two groups (χ^2=4.044, P<0.05). Conclusion The perinatal management program for pregnant women with gestational diabetes can effectively reduce the risk of adverse outcomes in pregnant women and perinatal children, and provide protection for the health and safety of mothers and babies.