论文部分内容阅读
目的:探讨妊娠期糖代谢异常孕妇血糖的控制对母体、围生儿并发症和妊娠结局的影响。方法:对门诊妊娠期糖代谢异常孕妇实施健康干预措施以控制血糖,并根据干预后血糖控制情况将其分为血糖控制满意组和血糖控制不满意组,另选择健康孕妇作为对照组,对3组母体、围生儿并发症和妊娠结局进行分析。结果:血糖控制满意组的妊娠高血压、羊水过多、剖宫产、产后出血和感染发生率与对照组相比差异无统计学意义(P>0.05);血糖控制不满意组的妊娠高血压、羊水过多和剖宫产发生率与对照组相比差异有统计学意义(P<0.05),而产后出血和感染发生率差异无统计学意义(P>0.05)。血糖控制满意组的巨大儿、新生儿窒息、早产、胎儿生长受限、新生儿低血糖发生率与对照组相比差异无统计学意义(P>0.05);血糖控制不满意组的巨大儿、新生儿窒息、早产发生率与对照组相比差异有统计学意义(P<0.05),而胎儿生长受限、新生儿低血糖发生率差异无统计学意义(P>0.05)。结论:尽早进行糖尿病筛查,及时诊断妊娠期糖尿病,合理饮食,适当运动,必要时使用胰岛素治疗,血糖控制满意,可降低孕期并发症和围生儿病死率。
Objective: To investigate the influence of blood glucose control in pregnant women with abnormal glucose metabolism on maternal, perinatal complications and pregnancy outcomes. Methods: Pregnant women with abnormal glucose metabolism during outpatient gestation were given health interventions to control blood glucose. According to the control of blood glucose after intervention, they were divided into two groups: the control group with satisfactory glycemic control and the group with unsatisfactory glycemic control. The healthy pregnant women were selected as the control group, Group maternal, perinatal complications and pregnancy outcomes were analyzed. Results: There was no significant difference in incidence of pregnancy-induced hypertension, polyhydramnios, cesarean section, postpartum hemorrhage and infection between the two groups (P> 0.05), but those with unsatisfactory glycemic control group , Polyhydramnios and incidence of cesarean section compared with the control group, the difference was statistically significant (P <0.05), while the incidence of postpartum hemorrhage and infection was no significant difference (P> 0.05). There was no significant difference in the incidence of hypoglycemia in neonates with hypoglycemia and neonatal asphyxia, neonatal asphyxia, premature birth, fetus growth restriction in the control group (P> 0.05) Neonatal asphyxia, the incidence of preterm birth compared with the control group, the difference was statistically significant (P <0.05), and fetal growth restriction, neonatal hypoglycemia incidence difference was not statistically significant (P> 0.05). Conclusion: As early as possible diabetes screening, timely diagnosis of gestational diabetes, reasonable diet, appropriate exercise, if necessary, the use of insulin therapy, blood glucose control satisfaction, can reduce complications during pregnancy and perinatal mortality.