论文部分内容阅读
目的:探讨妊娠期高血糖程度和妊娠结局的相互关系。方法:选取2008年10月至2013年10月在台州市第一人民医院进行产前检查的56例妊娠期高血糖孕产妇,将入选孕妇按照血糖水平分为观察A组34例和观察B组22例,比较两组孕产妇妊娠期高血压、产后出血等并发症,及胎儿新生儿并发症发生情况。结果:两组孕妇均出现妊娠期高血压、羊水过多、产后出血等并发症,观察A组并发症发生率为64.71%,明显低于观察B组的86.36%,差异具有统计学意义(P<0.05);两组胎儿及新生儿均出现早产、巨大儿、胎儿窘迫及新生儿低血糖等并发症,观察A组并发症发生率为29.41%,明显低于观察B组的59.09%,差异具有统计学意义(P<0.05)。结论:不同程度的妊娠高血糖对妊娠结局有不同程度的影响,通过良好的血糖控制能够有效减少产科并发症,改善母婴结局,血糖控制水平能够决定妊娠结局风险。
Objective: To explore the relationship between the degree of hyperglycemia in pregnancy and pregnancy outcome. Methods: From October 2008 to October 2013 in Taizhou First People’s Hospital for prenatal care of 56 cases of gestational hyperglycemia pregnant women, the selected pregnant women according to blood glucose levels were divided into observation group A 34 cases and observation group B Twenty-two cases were divided into two groups: the complications of pregnancy-induced hypertension, postpartum hemorrhage and complications of fetus neonates were compared. Results: Complications of gestational hypertension, polyhydramnios and postpartum hemorrhage occurred in both groups. The incidence of complications in group A was 64.71%, which was significantly lower than that in group B (86.36%) (P <0.05). Complications of preterm birth, macrosomia, fetal distress and neonatal hypoglycemia were observed in both fetuses and newborns. The incidence of complications in group A was 29.41%, significantly lower than 59.09% in group B Statistically significant (P <0.05). Conclusion: Different levels of gestational hyperglycemia have different effects on pregnancy outcome. Good glycemic control can effectively reduce the obstetric complications and improve the maternal and infant outcomes. The control of blood glucose can determine the risk of pregnancy outcome.