妊娠期糖尿病血糖控制水平对母婴结局影响分析.docVIP

妊娠期糖尿病血糖控制水平对母婴结局影响分析 　　【摘要】 目的：探讨血糖控制对妊娠期糖尿病孕妇产后母婴结局的影响。方法：选取2013年4月-2014年8月确诊为妊娠期糖尿病的患者80例，均采用血糖控制的方法对其进行干预治疗，根据治疗结果，将血糖控制满意的40例患者标记为观察1组，另40例血糖控制不满意的患者标记为观察2组，同时取同期所有指标正常的40例妊娠期妇女为对照组，将各组产妇及其新生儿的观察指标进行对比分析。结果：在妊娠期高血压疾病和胎膜早破的发生情况的比较中，观察2组与另两组比较差异有统计学意义（P0.05）。结论：有效的对体内血糖进行控制可降低孕妇妊娠期及其产褥期并发症的发生率，同时有效控制新生儿的产后并发症，可在临床中推广使用。 　　【关键词】 妊娠期糖尿病； 血糖控制； 母婴结局； 影响分析 　　The Effect of Blood Glucose Control for Maternal and Child Outcomes of Gestational Diabetes Patients/LIAO Wen-jun.//Medical Innovation of China，2015，12（15）：091-093 　　【Abstract】 Objective：To explore the effect of blood glucose control for maternal and child outcomes of gestational diabetes patients.Method：80 pregnant women with gestational diabetes were selected from our hospital during April 2013 and August 2014，they were all used blood glucose control methods，according to the results of treatment，they were divided into two groups，one was observation group-2（40 cases） who were satisfied for glycemic control，the other was observation group-1（40 cases） who were not satisfied for glycemic control，additionally， 40 cases of normal pregnant women were selected as a control group who’s all indicators were normal.Result：In the comparison of pregnancy-induced hypertension and premature rupture of the placenta，the observation group-2 was higher than the other two groups ，and the difference was statistical significance （P0.05）.Conclusion：Effective controlling of blood sugar can reduce the incidence of pregnant women during pregnancy and postpartum complications， can control postpartum neonatal complications， so it is worth to promote in clinical. 　　【Key words】 Gestational diabetes； Glycemic control； Maternal and child outcomes； Impact analysis 　　First-author’s address：The People’s Hospital of Huidong，Huidong 516300，China 　　doi：10.3969/j.issn.1674-4985.2015.15.031 　　临床上，患者常因胰岛素分泌异常引发糖尿病，进而引发一系列的营养代谢障碍。而作为糖尿病的一种特殊的类型，妊娠期糖尿病越来越引发临床工作的关注[1-2]。因妊娠期孕妇血容量增加，常伴有胰岛素分泌的相对不足。而胎盘分泌的激素具有抗胰岛素的作用，因而孕妇体内的血糖增高，引发妊娠期糖尿病，对孕妇及其新生儿造成不同