妊娠晚期空腹血糖水平对胎心监护评分及妊娠结局影响.docVIP

妊娠晚期空腹血糖水平对胎心监护评分及妊娠结局影响 　　【摘要】 目的：探讨妊娠晚期空腹血糖水平对胎心监护评分及妊娠结局的影响，为提高孕产妇的妊娠安全性提供参考。方法：选取笔者所在医院2011年5月-2013年5月收治的165例正常妊娠晚期孕妇，根据血糖水平分为A组（5～6 mmol/L）45例、B组（4～5 mmol/L）52例和C组（0.05）。B组、C组餐后1 h时NST评分较空腹时明显升高，餐后4 h降低较明显，至餐后5 h接近于空腹时（PB组C组（P0.05），C组明显低于A组和B组（PB组C组（P0.05），但B组均明显低于C组（P0.05）。结论：对妊娠晚期低血糖的孕妇，应加强其血糖管理，维持空腹血糖处于正常水平，并密切监测胎儿心率的变化，以确保母婴安全。 　　【关键词】 妊娠晚期； 空腹血糖水平； 胎心监护； 妊娠结局 　　中图分类号 R715 文献标识码 B 文章编号 1674-6805（2015）2-0105-03 　　Effect on Fetal Heart Rate Monitoring Score and Pregnancy Outcome by Fasting Blood Glucose Levels in Late Pregnancy/LIANG Zhen-ping，HU Yu-ling.//Chinese and Foreign Medical Research，2015，13（2）：105-107 　　【Abstract】 Objective：To investigate the effect on fetal heart rate monitoring score and pregnancy outcome by fasting blood glucose levels in late pregnancy，in order to provide reference for improving maternal pregnancy safety.Method：165 normal late pregnant women in our hospital from May 2011 to May 2013 were selected，according to the blood glucose levels，they were divided into the group A （5-6 mmol/L） for 45 cases，the group B （4-5 mmol/L） for 52 cases and the group C （0.05）.The NST scores at postprandial 1 hour in group B，group C were significantly higher than those at an empty stomach，at postprandial 4 hours were greatly reduced，and postprandial 5 hours were close to those at an empty stomach（Pgroup Bgroup C（P0.05），the NST score in group C was significantly lower than that in group A and group B（Pgroup Bgroup C（P0.05），but those in group B were significantly lower than those in group C （P 　　【Key words】 Late pregnancy； Fasting blood glucose level； Fetal heart rate monitoring； Pregnancy outcome 　　First-author’s address：Maternal and Child Health Hospital of Luzhai County，Luzhai 545600，China 　　doi：10.14033/j.cnki.cfmr.2015.02.051 　　胎心监护（elctronic fetal heart rate monitoring，EFM）是监测胎儿宫内状况、判断胎儿耐受力的重要手段[1]。胎心率可准确反映胎儿心功能，其变化对妊娠结局产生一定程度的影响。妊娠晚期孕妇易产生低血糖，而血糖水平控制不良则易引起宫内窘迫、胎死宫中、胎儿畸形等不良结局，对母体则可引起酮症酸中毒、泌尿生殖道感染等并发症。因此妊娠晚期监测孕妇血糖水平对改善母婴妊娠结局有着重要意义[2-3]。妊娠晚期