119例同期发现妊娠期糖尿病患者血糖控制对妊娠结局的影响

The effect of glycemic control on pregnancy outcome in 119 gestational diabetes mellitus patients over the same period

目的探讨同期发现妊娠期糖尿病(GDM)患者血糖控制对母婴妊娠结局影响。方法通过比较2016年12月~2017年12月乐山市妇幼保健院收治的119例GDM患者,根据血糖控制达标与否分为观察组64例,对照组55例。比较两组患者发生不良妊娠结局、新生儿并发症情况。计量资料采用t检验,计数资料采用χ^2检验,P<0.05为差异有统计学意义。结果观察组出现早产、胎膜早破、产后出血、羊水过多、妊娠期高血压的发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组胎儿宫内窘迫、新生儿窒息、巨大儿、死胎、低体重儿的发病率均明显低于对照组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病严格控制血糖可显著改善母儿结局。妇幼保健机构应做好GDM管理。

Objective To explore the effect of glycemic control on pregnancy outcome in gestational diabetes mellitus(GDM) patients over the same period. Methods Comparing a total of 119 patients that received treatment at this hospital between December 2016 and December 2017, placed in an study group of 64 patients and a control group of 55 students based on whether glycemic control was successful or not. Unfavorable pregnancy outcomes in the two groups were compared, as well as complications in the newborns. The quantitative data was analyzed using a t-test. The count data was analyzed using a chi-squared test, where P<0.05 signified a statistically significant difference. Results The incidence rates of premature birth, premature rupture of membranes,postpartum hemorrhage, polyhydramnios and gestational hypertension in the study group were significantly lower than in the control group(P<0.05). The incidence rates of fetal distress, neonatal asphyxia, macrosomia, fetal death and low birth weight in the study group were all significantly lower than in the control group(P<0.05). Conclusions Strict glycemic control among GDM patients can significantly improve pregnancy outcome. GDM management should be enhanced in maternal and child health care institutions.