妊娠期糖尿病患者血糖控制对妊娠结局的影响

Effect of blood glucose control on pregnancy outcome of patients with gestational diabetes mellitus

目的:探讨妊娠期糖尿病的发生情况及其母婴结局。方法:2010年12月-2013年12月收治妊娠期糖尿病患者153例,根据血糖控制情况将其分成血糖控制满意组(A组)、血糖控制不满意组(B组),160例正常孕妇为对照组。回顾分析各组孕产妇及围产儿并发症情况。结果:B组的酮症酸中毒、妊高征、羊水异常、胎膜早破、产后出血、早产、巨大儿、新生儿低血糖、高胆红素血症、新生儿窒息、畸形的发生率均高于对照组及A组(P<0.05)。结论:妊娠期糖尿病患者血糖控制满意,可显著降低孕妇及胎儿围产期并发症,提高围生期质量。

Objective:To explore the occurrence and maternal and child outcome of gestational diabetes mellitus.Methods:153cases with gestational diabetes mellitus were selected from December 2010 to December 2013.According to the blood sugar control situation,they were divided into the blood glucose control satisfaction group(A group),the blood glucose control dissatisfaction group(B group) and 160 normal pregnant women as the control group.The maternal and perinatal complications of groups were retrospectively analyzed.Results:The incidence rates of ketoacidosis,pregnancy induced hypertension,abnormal amniotic fluid volume,premature rupture of fetal membranes,postpartum hemorrhage,premature delivery,fetal macrosomia,neonatal hypoglycemia,hyperbilirubinemia,neonatal asphyxia,malformation of B group were higher than those of the control group and A group(P<0.05).Conclusion:Satisfactory blood glucose control in patients with gestational diabetes mellitus can significantly reduce the maternal and fetal perinatal complications,and improve the quality of the perinatal period.