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目的探讨控制妊娠期糖尿病孕妇血糖对改善围产儿结局的意义。方法将142例妊娠期糖尿病孕妇根据治疗后血糖控制情况分为血糖控制满意组(85例)和血糖控制不满意组(57例),两组进行比较,分析在出生缺陷及围产儿并发症方面有无差异。结果经临床干预后血糖控制满意组巨大儿、新生儿低血糖、出生缺陷、围产儿病率均明显低于血糖控制不满意组,差异有统计学意义(P<0.05);胎死宫内、早产与对照组相比,差异无统计学意义(P>0.05)。结论重视孕期血糖筛查,及时诊断和治疗妊娠期糖尿病,把血糖控制在正常范围之内,可以有效地降低围产儿并发症的发生率,改善围产儿结局。
Objective To explore the significance of controlling blood glucose in pregnant women with gestational diabetes to improve perinatal outcome. Methods 142 pregnant women with gestational diabetes mellitus were divided into satisfaction group (85 cases) and unsatisfactory control group (57 cases) according to the blood glucose control after treatment. The two groups were compared in terms of birth defects and complications of perinatal Is there any difference? Results The rate of hypoglycemia, neonatal hypoglycemia, birth defects and perinatal morbidity in the control group with satisfactory blood glucose after clinical intervention was significantly lower than those in the unsatisfactory group with glycemic control (P <0.05) Preterm birth compared with the control group, the difference was not statistically significant (P> 0.05). Conclusion The importance of screening blood glucose during pregnancy, timely diagnosis and treatment of gestational diabetes, blood glucose control within the normal range, can effectively reduce the incidence of perinatal complications and improve perinatal outcomes.