论文部分内容阅读
【目的】探讨血糖控制对妊娠期糖尿病孕妇产后感染的影响。【方法】选取妊娠期糖尿病孕妇98例,按血糖控制效果分为两组,血糖控制有效52例为观察组,血糖控制无效46例为对照组,比较两组孕妇产后感染情况。【结果】观察组感染率为9.6%(5/52)显著低于对照组23.9%(11/46),其差异有显著性( P <0.05);观察组感染菌种主要为大肠埃希菌,其次为表皮葡萄球菌、不动杆菌、奇异变形杆菌,无金黄色葡萄球菌感染,对照组感染菌种主要为大肠埃希菌,其次为表皮葡萄球菌、奇异变形杆菌、不动杆菌、金黄色葡萄球。【结论】妊娠期糖尿病患者合理饮食并适当运动,控制血糖水平可降低感染发生率。“,”Objective]To explore the effects of glycemic control on postpartum infection in pregnant women with gestational diabetes .[Methods]From February 2011 to February 2014 ,a total of 98 pregnant women with gestational diabetes were recruited and divided into observation ( n =52) and control ( n =46) groups according to glycemic control was effective or not .Retrospective analyses were performed for clinical data to compare the status of postpartum infection .[Results]For two groups ,the infection rate was 9 .6% ( n=5) in observation group versus 23 .9% in control group .And the inter‐group difference was statistically sig‐nificant ( P<0 .05) .The major bacteria pathogens of observation group were Escherichia coli ,Staphylococcus epidermidis ,Acinetobacter and Proteus mirabilis while Staphylococcus aureus appeared in control group .[Con‐clusion]For gestational diabetics ,active glycemic control ,proper diet and adequate exercise may control blood sugar levels ,significantly reduce the incidence of infection and improve quality of life .