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对2015年2月至2016年9月间80例妊娠合并糖尿病患者的临床资料进行回顾性研究,观察组患者妊娠时间小于32周,对照组患者妊娠时间32周以上。结果:经治疗,观察组患者的分娩前FBG、P2hB G较初检时明显下降,分娩前的血糖值在正常范围内,尿糖及尿酮体阳性率显著下降;对照组患者血糖值下降,且血糖控制结果较为满意,但尿糖及尿酮体未见明显改善。观察组剖宫产率高于对照组组,妊娠高血压发生率与对照组基本一致,出现4例早产,未见死胎;对照组无早产,但巨大儿、胎窘、酮症发生率均高于观察组,且有1例死胎。结论:妊娠合并糖尿病患者在常规饮食控制为基础的同时给予短效胰岛素进行治疗,能够全面改善患者妊娠结局。
The clinical data of 80 cases of pregnancy with diabetes mellitus were retrospectively studied between February 2015 and September 2016. The patients in the observation group had less than 32 weeks ’gestation time and more than 32 weeks’ gestation time in the control group. Results: Before treatment, the FBG and P2hB G of the observation group decreased significantly compared with that of the initial examination. The blood glucose level before delivery was within the normal range, and the positive rate of urine glucose and ketone bodies was significantly decreased. The blood glucose of the control group decreased and the blood sugar Control results are more satisfactory, but urine sugar and urine ketone body no significant improvement. The rate of cesarean section in the observation group was higher than that in the control group. The incidence of pregnancy-induced hypertension was basically the same as that in the control group. There were 4 premature births and no stillbirths. The control group had no preterm birth, but the incidence of macrosomia, fetal emboli and ketosis was high In the observation group, and 1 stillbirth. Conclusion: Pregnancy with diabetes in patients with conventional diet-based control while giving short-acting insulin for treatment, can fully improve the pregnancy outcome.