加强血糖控制对妊娠期糖尿病患者血糖水平和妊娠结局的影响

The effect of strengthening blood glucose control on blood glucose level and pregnancy outcomes in patients with gestational diabetes

目的观察加强糖控制对妊娠期糖尿病患者血糖水平和妊娠结局的影响。方法选取2018年6月至2019年3月本院妇产科妊娠期糖尿病患者110例,采用随机数字表法均分为观察组和对照组,各55例。对照组给予常规血糖控制,观察组在对照组基础上给予加强血糖控制。统计两组血糖控制情况,并对两组不良妊娠结局进行统计。结果经血糖控制后,观察组空腹血糖、餐后2h血糖水平明显低于对照组(P<0.05);观察组剖宫产及孕妇围生期并发症发生例数明显少于对照组,差异有统计学意义(P<0.05);观察组不良妊娠结局发生率为5.45%明显低于对照组的18.18%,差异有统计学意义(P<0.05)。结论妊娠期糖尿病患者孕期易出现多种并发症,且妊娠结局预后差,临床中应加强血糖控制,从而改善新生儿妊娠结局,提高母婴安全。

Objective:To observe the effect of strengthening glucose control on the blood glucose level and pregnancy outcomes of patients with gestational diabetes.Methods:A total of 110 patients with gestational diabetes in the Department of Obstetrics and Gynecology in our hospital from June 2018 to March 2019 were selected and divided into observation group and control group by random number table method,each with 55 cases.The control group was given routine blood sugar control,and the observation group was given enhanced blood sugar control on the basis of the control group.The blood glucose control and adverse pregnancy outcomes in the two groups were statistically analyzed.Results:After blood glucose control,the fasting blood glucose and 2h postprandial blood glucose levels of the observation group were significantly lower than those of the control group(P<0.05);the observation group had significantly fewer cases of cesarean section and perinatal complications than the control group,with statistical significance(P<0.05);the adverse pregnancy outcomes of the observation group was 5.45%,significantly lower than 18.18%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Patients with gestational diabetes are prone to multiple complications during pregnancy,and the prognosis of pregnancy is poor.In clinical practice,blood glucose control should be strengthened to improve the pregnancy outcome of newborns and improve the safety of mothers and babies.