妊娠期糖尿病不同治疗方式对妊娠结局的影响分析

Analysis of the Influence of Different Treatment Methods of Diabetes in Pregnancy on Pregnancy Outcome

目的分析妊娠期糖尿病患者病情控制中,采用不同治疗方式对妊娠结局的影响。方法选取2020年1月—2022年1月石首市人民医院妇科收治的80例妊娠期糖尿病患者,将其按临床随机抽样法分为两组,每组40例。对照组给予生活干预,观察组在对照组基础上给予胰岛素治疗,对比两组临床疗效、不良妊娠结局、产妇并发症发生率、血糖指标。结果观察组临床疗效(95.00%)高于对照组(77.50%),差异有统计学意义(P<0.05)。观察组不良妊娠结局发生率(5.00%)低于对照组(20.00%),差异有统计学意义(P<0.05)。观察组产妇并发症发生率(5.00%)低于对照组(25.00%),差异有统计学意义(P<0.05)。观察组空腹血糖(5.22±1.02)mmol/L、餐后2 h血糖(7.41±1.25)mmol/L、糖化血红蛋白(5.11±0.48)%、血糖达标时间(4.28±1.32)d低于对照组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病治疗中在生活干预的同时给予胰岛素治疗可提高病情控制效果,在缩短血糖达标时间的同时能改善妊娠结局及产妇预后效果,值得借鉴及参考。

Objective To analyze the influence of different treatment methods on pregnancy outcome in patients with gestational diabetes.Methods From January 2020 to January 2022,80 patients with gestational diabetes admitted to the department of gynecology of Shishou People′s Hospital were selected and divided into two groups according to clinical random sampling method,with 40 cases in each group.The control group was given life intervention,while the observation group was given insulin treatment on the basis of the control group.The clinical efficacy,adverse pregnancy outcomes,incidence of maternal complications,and blood glucose indicators were compared between the two groups.Results The clinical efficacy of the observation group(95.00%)was higher than that of the control group(77.50%),and the difference was statistically significant(P<0.05).The incidence of adverse pregnancy outcomes in the observation group(5.00%)was lower than that in the control group(20.00%),and the difference was statistically significant(P<0.05).The complication rate of the observation group(5.00%)was lower than that of the control group(25.00%),and the difference was statistically significant(P<0.05).The fasting blood glucose(5.22±1.02)mmol/L,2 h postprandial blood glucose(7.41±1.25)mmol/L,glycosylated hemoglobin(5.11±0.48)%,and blood glucose reaching time(4.28±1.32)d in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of gestational diabetes,insulin treatment can improve the effect of disease control,shorten the time of reaching the blood sugar standard,and improve the pregnancy outcome and maternal prognosis,which is worth learning and reference.