血糖控制对减少妊娠期糖尿病孕妇不良妊娠结局的影响

The Effect of Blood Glucose Control on Reducing the Adverse Pregnancy Outcome of Pregnant Women with Gestational Diabetes

目的研究血糖控制对减少妊娠期糖尿病孕妇不良妊娠结局的影响。方法将平潭综合实验区医院2019年1月—2020年3月收治的122例妊娠期糖尿病产妇分成两组,对照组给予常规治疗,观察组给予加强血糖控制,比较两组血糖控制效果。结果观察组妊娠期糖尿病孕妇接受血糖控制后,不良结局发生率降低,仅为5.00%,明显低于对照组的24.19%,差异有统计学意义(χ^(2)=12.176,P<0.05);新生儿的临床指标比较,观察组的免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)分别为(0.61±0.01)、(10.11±0.02)、(0.10±0.03)g/L,优于对照组,差异有统计学意义(t=5.623、6.217、4.693,P<0.05)。产妇分娩后恢复情况比较,观察组产妇的子宫复旧时间、恶露消失时间、空腹血糖、餐后2 h血糖分别为(9.51±0.14)、(13.25±0.56)d、(5.61±0.12)、(8.41±0.96)mmol/L,优于对照组,差异有统计学意义(t=7.953、9.569、7.225、7.251,P<0.05)。结论血糖控制对减少妊娠期糖尿病孕产妇不良妊娠结局有积极影响,对保护新生儿、产妇安全均有重要价值。

Objective To study the effect of blood glucose control on reducing the adverse pregnancy outcome of pregnant women with gestational diabetes.Methods The 122 cases of pregnant women with gestational diabetes who were admitted to Pingtan Comprehensive Experimental Zone Hospital from January 2019 to March 2020 were divided into two groups.The control group was given conventional treatment,and the observation group was given enhanced blood glucose control,and the blood glucose control effects of the two groups were compared.Results The incidence of adverse outcomes in the observation group of pregnant women with gestational diabetes after receiving blood glucose control decreased,only 5.00%,which was significantly lower than 24.19% in the control group,and the difference was statistically significant(χ^(2)=12.176,P<0.05).Comparison of clinical indicators of neonates,immunoglobulin A(IgA),immunoglobulin G(IgG),and immunoglobulin M(IgM) in the observation group were(0.61 ±0.01)g/L,(10.11±0.02)g/L,and(0.10 ±0.03)g/L,were better than those in the control group.The difference was statistically significant(t=5.623,6.217,4.693,P<0.05).Compared the recovery of parturients after childbirth,the uterine involution time,lochia disappearance time,fasting blood glucose,and blood glucose 2 h postprandial in the observation group were(9.51 ±0.14)d,(13.25 ±0.56)d,(5.61 ±0.12)mmol/L,(8.41 ±0.96)mmol/L,were better than the control group,the difference was statistically significant(t=7.953,9.569,7.225,7.251,P<0.05).Conclusion Blood glucose control has a positive effect on reducing the adverse pregnancy outcomes of pregnant women with gestational diabetes,and is of great value in protecting the safety of newborns and women.