妊娠期糖尿病患者血糖控制情况与新生儿促甲状腺激素水平的相关性分析

Analysis of the relationship between blood glucose control and neonatal TSH level in patients with gestational diabetes mellitus

目的:分析妊娠期糖尿病患者血糖控制情况与新生儿促甲状腺激素(TSH)水平的相关性。方法:2018年5月-2019年8月收治妊娠期糖尿病患者102例,根据其血糖控制情况分为血糖控制良好组62例和血糖控制不佳组40例。比较两组新生儿出生情况及TSH水平。结果:两组新生儿出生体质量、Apgar评分比较,差异无统计学意义(P>0.05);血糖控制良好组新生儿甲状腺功能与控制不佳组比较,差异有统计学意义(P<0.05)。经Pearson相关性分析显示,妊娠期糖尿病患者血糖水平与新生儿甲状腺功能呈密切相关性(P<0.05)。结论:妊娠期糖尿病患者血糖控制情况与新生儿TSH水平呈密切相关性,可见有效控制血糖对提高新生儿出生质量,具有重要价值。

Objective:To investigate the correlation between blood glucose control and neonatal TSH level in patients with gestational diabetes mellitus.Methods:From May 2018 to August 2019,102 cases of patients with gestational diabetes were enrolled,they were divided into two groups according to the blood glucose control,62 cases in good blood glucose control group and 40 cases in poor blood glucose control group.Births of newborns and TSH level were compared between the two groups.Results:The body mass and Apgar scores of newborns between the two groups were compared,the differences were not statistically significant(P>0.05).The neonatal thyroid function in the well-controlled blood sugar group were compared with those in the poorly controlled group,the differences were statistically significant(P<0.05).Pearson correlation analysis showed that blood glucose level in gestational diabetes mellitus patients was closely related to thyroid function in neonates(P<0.05).Conclusion:The blood glucose control in gestational diabetes mellitus is closely related to the TSH level of newborns.It can be seen that effective control of blood glucose is of great value in improving the quality of newborns'birth.