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目的:探讨妊娠期糖尿病(GDM)孕妇血糖水平的有效控制与母婴妊娠结局的关系。方法:对确诊的118例GDM患者,根据血糖水平控制满意情况分为血糖控制满意组(72例)和控制不良组(46例),并以120例正常孕妇为对照,比较3个组别的母婴妊娠并发症发生情况。结果:血糖控制不良组的妊娠期高血压疾病、羊水过多、酮症酸中毒、产后出血、剖宫产、早产、巨大儿、新生儿窒息、新生儿低血糖、高胆红素血症等并发症发生率均明显高于正常组(P<0.05),而控制不良组的妊娠期高血压疾病、剖宫产、巨大儿、新生儿窒息、新生儿低血糖、高胆红素血症的发生率也明显高于控制组(P<0.05)。结论:应重视GDM对母婴妊娠的危害,早期诊断和治疗,良好控制血糖水平,能有效降低妊娠并发症。
Objective: To explore the relationship between the effective control of blood glucose level in pregnant women with gestational diabetes mellitus (GDM) and the outcome of pregnancy. Methods: One hundred and seventy patients with GDM were divided into two groups according to the control of blood glucose level: control group (72 cases) and control group (46 cases), and 120 normal pregnant women as control group. Maternal and child pregnancy complications. Results: Patients with poor glycemic control had gestational hypertension, polyhydramnios, ketoacidosis, postpartum hemorrhage, cesarean section, premature delivery, macrosomia, neonatal asphyxia, neonatal hypoglycemia, hyperbilirubinemia and so on Complications were significantly higher than the normal group (P <0.05), while the poor control group of gestational hypertension, cesarean section, macrosomia, neonatal asphyxia, neonatal hypoglycemia, hyperbilirubinemia The incidence was also significantly higher than the control group (P <0.05). Conclusion: GDM should pay attention to the harm of maternal and infant pregnancy, early diagnosis and treatment, good control of blood glucose levels, can effectively reduce the complications of pregnancy.