浅析妊娠糖尿病临床血糖检验结果观察.docVIP

精品论文 参考文献 浅析妊娠糖尿病临床血糖检验结果观察 黑龙江省绥化市妇幼保健院 152000 摘要：目的 研究并观察妊娠糖尿病患者的血糖检验结果。方法 此次研究的对象是选择2012年1月—2015年1月期间收治的妊娠糖尿病患者45例，将其临床资料进行回顾性分析，并作为试验组；同期健康孕妇45例作为对照组，采用口服葡萄糖耐量试验，比较两组的血糖指标和分娩结局。 结果 试验组孕妇空腹血糖、1 h血糖、2 h血糖均高于对照组，妊高症、羊水过多、产后出血、胎膜早破发生率高于对照组。经治疗后患者空腹血糖值、餐后2 h血糖值明显降低，和治疗前比较差异有统计学意义（Plt;0.05）。 结论 对于妊娠糖尿病患者而言，血糖水平、母婴并发症和健康产妇比较差异明显。血糖检验可以作为临床诊断和预后评估的重要指标，具有较高的应用价值。 关键词：妊娠糖尿病；血糖检验；分娩结局；并发症；临床 [Abstract] Objective To study the results of blood glucose test in patients with gestational diabetes mellitus. Methods the research object is selected in January 2012 - January 2015 treated patients with gestational diabetes mellitus in 45 patients， their clinical data were retrospective analysis， and as the experimental group；45 cases of healthy pregnant women during the same period as the control group， using the oral glucose tolerance test， were compared between the two groups of glycemic index and birth outcomes. Results in the experimental group， fasting blood glucose， 1 h glucose， 2 h glucose were higher than the control group， the incidence of pregnancy induced hypertension， amniotic fluid too much， postpartum hemorrhage， premature rupture of membranes was higher than that of the control group. After treatment， fasting blood glucose， postprandial 2 h blood glucose values were significantly lower， and the difference was statistically significant（Plt;0.05）. Conclusion for pregnant women with gestational diabetes mellitus， blood glucose levels， maternal and infant complications and maternal health are significantly different. Blood glucose test can be used as an important index for clinical diagnosis and prognosis evaluation， and it has high value in application. Gestational diabetes mellitus；blood glucose test；delivery outcome；complication；clinical 妊娠糖尿病指的是在妊娠期间首次发生糖尿病，我国孕妇发病率在1%～5%之间，且近年来发病人数有所增加[1]。尽管多数患者在产后能够恢复到正常的血糖水平，但增加了2型糖尿病的发病几率，且在妊娠期间会对母体、胎儿带来严重的伤害[2]。及时诊断并治疗能够减少母婴并发症，改善分娩结局。临床上一般采用糖耐量试验，最佳检验时间是孕24～28周。为此，该研究选取该院收治的孕妇进行分析，探讨了血糖检验结果，现报道如下。 1 资料与方法