妊娠期糖尿病管理与妊娠糖尿病母儿结局临床分析研究.docVIP

妊娠期糖尿病管理与妊娠糖尿病母儿结局临床分析研究 　　【摘要】 目的 研究妊娠期糖尿病管理对妊娠糖尿病母儿结局的影响。方法 110例待分娩妊娠期糖尿病孕妇， 随机分为对照组和观察组， 各55例。对照组仅实施孕期常规管理， 观察组实施孕期系统化管理， 观察比较两组孕妇血糖指标变化、孕妇妊娠期并发症及新生儿结局。结果 管理前， 两组孕妇空腹血糖水平、餐后1 h血糖水平比较， 差异无统计学意义（P0.05）；管理后， 观察组孕妇空腹血糖水平、餐后1 h血糖水平均明显低于对照组， 差异具有统计学意义（P0.05）。观察组孕妇羊水过多、产褥感染、产后出血及高血压发病率均明显低于对照组， 差异有统计学意义（χ2=5.55、5.43、15.15、5.79， P0.05）。观察组新生儿宫内发育迟缓、血糖过低、呼吸窘迫及巨大儿发病率均显著低于对照组， 差异有统计学意义（P0.05）。结论 对妊娠期糖尿病孕妇进行系统使化管理， 能够较好的控制孕妇血糖水平， 显著降低孕妇及新生儿由妊娠期糖尿病引发的一系列并发症， 妊娠糖尿病母儿结局得到明显的改善。 　　【关键词】 糖尿病；妊娠期；管理；结局；临床分析 　　DOI：10.14163/j.cnki.11-5547/r.2018.01.087 　　【Abstract】 Objective To study the effect of management of gestational diabetes on maternal and fetal outcome of gestational diabetes. Methods A total of 110 pregnant women with gestational diabetes were randomly divided into control group and observation group， with 55 cases in each group. The control group received regular nursing during pregnancy， and the observation group received systematic management during pregnancy. Observation and comparison were made on changes in blood glucose， pregnancy complications and neonatal outcomes between two groups. Results Before management， both groups had no statistically significant difference in fasting blood glucose and 1 h postprandial blood glucose level （P0.05）. After management， the observation group had obviously lower fasting blood glucose and 1 h postprandial blood glucose level than the control group， and their difference was statistically significant （P0.05）. The observation group had obviously lower incidence of amniotic fluid， puerperal infection， postpartum hemorrhage and hypertension than the control group， and their difference was statistically significant （χ2=5.55， 5.43， 15.15， 5.79， P0.05）. The observation group had obviously lower incidence of intrauterine growth retardation， hypoglycemia and respiratory distress and macrosomia than the control group， and their difference was statistically significant （P0.05）. Conclusion Systematic management for pregnant women with ge