妊娠期糖尿病产妇产程中血糖及其新生儿血糖监测.docVIP

妊娠期糖尿病产妇产程中血糖及其新生儿血糖监测 　　DOI：10.16658/j.cnki.1672-4062.2016.13.083 　　[摘要] 目的 探讨妊娠期糖尿病产妇产程中血糖及其新生儿血糖监测。方法 择取该院在2013年3月―2014年5月期间接收的50例妊娠期糖尿病产妇，借助血糖仪监测产妇在分娩过程中的血糖值。 结果 50例妊娠期糖尿病产妇，第一产程血糖变化范围4～12.3 mmol/L，第二产程产妇血糖变化为4.2～13.3 mmol/L，通过研究对比可以发现，产妇第一产程的平均血糖水平明显低于第二产程，满足P0.05，差异有统计学意义。结论 妊娠期糖尿病产妇在分娩过程中由于血糖变化继而引发新生儿低血糖，必须予以充分的重视及有效解决方案，在产妇产程中控制血糖将会在很大程度上降低新生儿低血糖，建议在临床中推广。 　　[关键词] 妊娠期；糖尿病产妇；产程；血糖监测 　　[中图分类号] R715 [文献标识码] A [文章编号] 1672-4062（2016）07（a）-0083-02 　　Blood Glucose and Blood Glucose Monitoring in Women with Gestational Diabetes Mellitus 　　GAO Yu-hua 　　Heilongjiang Province Mishan Peoples Hospital， Mishan，Heilongjiang Province，158300 China 　　[Abstract] Objective To investigate the blood glucose and blood glucose monitoring in the pregnant women with gestational diabetes mellitus. Methods Chooses my courtyard in March 2013 to 2014 during the month of may receive 50 cases of pregnancy period of maternal diabetes， with glucose monitoring maternal in childbirth blood glucose values. Results 50 cases of women with gestational diabetes mellitus， first blood glucose range 4～12.3 mmol/L. During the second stage of labor in maternal blood glucose changes 4.2～13.3 mmol/L. Through the comparative study can be found， the average blood glucose level of maternal labor was significantly lower than that of the second stage of labor， to meet the P 0.05， with statistical significance. Conclusion Women with gestational diabetes mellitus in delivery process due to the changes of blood glucose and then cause neonatal hypoglycemia must be sufficient attention and effective solutions， in the labor process control blood sugar will be in a great extent reduce neonatal hypoglycemia and suggestions in clinical widely. 　　[Key words] Pregnancy； Diabetic pregnant women； Labor process； Blood glucose monitoring 　　从临床医学角度分析，新生儿在出生之后极易引发低血糖，而且具有持久性特点，易反复发作，这对于新生儿的生长发育是非常不利的因素，影响患儿神经系统及智力发育。有相关研究显示[1]，妊娠期糖尿病产妇（GDM），是新生儿低血糖的直接因素，这是因为GDM血糖过高引起的，在产妇分娩过程中，其血糖状态在某种程度上决定了新生儿的血糖。该文中探讨了妊娠期糖尿病患者