妊娠期糖尿病的规范化治疗对妊娠结局的影响

The Influence of Standardized Treatment of Gestational Diabetes on Pregnancy Outcome

目的分析对确诊为妊娠期糖尿病的产妇开展规范化的治疗对改善其妊娠结局的作用。方法选择2017年6月-2018年12月160例妊娠期糖尿病产妇为对象,随机抽签法分为两组,一组80例接受包括运动疗法、体质量控制、药物治疗、适时终止妊娠在内的规范化治疗,视作观察组,一组80例未接受规范化治疗,仅实施基础饮食指导,视作对照组,比较两组妊娠结局。结果观察组干预后空腹血糖、餐后2 h血糖水平均明显低于对照组,差异有统计学意义(P<0.05),观察组胎儿不良结局发生率为6.25%,产妇不良结局发生率为10.00%,均明显低于对照组发生率16.25%、22.50%,差异有统计学意义(χ^2=4.006、4.592,P<0.05)。结论对妊娠期糖尿病产妇开展规范化治疗有助于减少不良妊娠结局,提高分娩质量,值得推广实施。

Objective To analyze the effect of standardized treatment on women diagnosed with gestational diabetes in improving their pregnancy outcome.Methods From June 2017 to December 2018,160 women with gestational diabetes mellitus were selected as sub-jects.They were randomly divided into two groups by lottery.One group of 80 patients received exercise therapy,weight control,drug treatment,and timely termination of pregnancy.Regarding the standardized treatment of patients,it was regarded as the observation group.One group of 80 patients did not receive standardized treatment and only implemented basic dietary guidance.They were re-garded as the control group to compare the pregnancy outcomes of the two groups.Results The fasting blood glucose and 2 h postpran-dial blood glucose levels of the observation group after intervention were significantly lower than those of the control group,the differ-ence was statistically significant(P<0.05).The incidence of adverse fetal outcomes in the observation group was 6.25%,and the incidence of adverse maternal outcomes was 10.00%,both significantly lower than the incidence of the control group was 16.25%,22.50%,the difference was statistically significant(χ^2=4.006,4.592,P<0.05).Conclusion Standardized treatment for women with gestational diabetes can help reduce adverse pregnancy outcomes and improve the quality of delivery.It is worthy of promotion and im-plementation.