产科门诊综合管理对妊娠期糖耐量异常孕妇血糖水平、分娩结局及胎儿的影响

Effect of Comprehensive Management of Obstetric Clinic on Blood Sugar Level,Delivery Outcome and Fetus of Pregnant Women with Gestational Impaired Glucose Tolerance

目的:研究产科门诊综合管理对妊娠期糖耐量异常(GIGT)孕妇血糖水平、分娩结局及胎儿的影响。方法:将本院2017年12月-2019年5月收治的102例诊断为妊娠期糖耐量异常孕妇为纳入研究对象。然后按随机数字表法分成两组,对照组(51例)单纯使用常规管理,观察组(51例)则给予产科门诊综合管理。对两组孕妇干预前后血糖水平、分娩结局及围产儿结局情况进行统计比较。结果:分娩后,观察组的2 h PPG和体质量变化均明显低于对照组(P<0.05);观察组产后出血、早产、胎膜早破发生率明显低于对照组(P<0.05);观察组的巨大儿、新生儿窒息、胎儿宫内窘迫及低血糖发生率显著低于对照组(P<0.05)。结论:产科门诊综合管理对妊娠期糖耐量异常孕妇不仅能有效改善血糖水平,降低妊娠并发症发生率,还能减少围产儿不良结局,有利于妊娠结局,可作为GIGT孕妇的优选模式。

Objective:To investigate the effect of comprehensive management of obstetric clinic on blood sugar level,delivery outcome and fetus of pregnant women with gestational impaired glucose tolerance.Method:A total of 102 pregnant women with gestational impaired glucose tolerance who admitted to our hospital from December 2017 to May 2019 were included in the study.Then they were divided into two groups according to random number table.The control group(51 cases)used routine management only,while the observation group(51 cases)was given comprehensive management of obstetric clinic.The blood sugar levels before and after intervention,delivery outcomes and perinatal outcomes were compared between the two groups.Result:After intervention,the changes of 2 h PPG and body mass in the observation group were significantly lower than those in the control group(P<0.05).The incidence of polyhydramnios,pregnancy-induced hypertension,postpartum hemorrhage,premature delivery and premature rupture of membranes in the observation group were significantly lower than those in the control group(P<0.05).The incidence of macrosomia,neonatal asphyxia,fetal distress and hypoglycemia in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Obstetric outpatient comprehensive management can not only effectively improve blood sugar level and reduce the incidence of pregnancy complications for pregnant women with gestational impaired glucose tolerance,but also reduce adverse perinatal outcomes,which is conducive to pregnancy outcomes.It can be used as an optimal model for GIGT pregnant women..