妊娠期糖尿病规范化治疗对妊娠结局影响研究.docVIP

妊娠期糖尿病规范化治疗对妊娠结局影响研究 　　[摘要] 目的 探析妊娠期糖尿病的规范化治疗对妊娠结局的影响。方法 对该院2015年6月―2017年1月期间收治的96例妊娠糖尿病患者予以分组研究，根据计算机数表法均分为两组，即对照组与观察组，每组48例。对照组患者予以常规治疗，观察组患者予以规范化治疗，对两组患者空腹血糖水平、餐后2 h血糖水平、糖化血红蛋白水平及妊娠结局予以统计分析。结果 观察组患者空腹血糖水平、餐后2 h血糖水平、糖化血红蛋白水平均低于对照组患者，两组对比差异有统计学意义（P0.05）。观察组患者妊娠不良结局发生率为8.3%，围产儿不良结局发生率为10.4%，均低于对照组的27.1%、29.2%，两组对比差异有统计学意义（P0.05）。结论 对妊娠糖尿病患者予以规范化治疗，能够明显改善患者妊娠结局与围产儿结局，同时还可以有效调节患者血糖水平，是一种值得临床进一步借鉴与应用的治疗方法。 　　[关键词] 妊娠糖尿病；规范化治疗；妊娠结局 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）04（a）-0021-03 　　[Abstract] Objective To study the effect of standardized treatment of gestational diabetes mellitus on the gestational outcome. Methods 96 cases of patients with gestational diabetes admitted and treated in our hospital from June 2015 to January 2017 were selected and randomly divided into two groups with 48 cases in each， the control group and the observation group were respectively given the routine treatment and standardized treatment， and the fasting blood glucose level， blood glucose at 2 h after dinner， glycosylated hemoglobin level and pregnant outcome were statistically analyzed. Results The fasting blood glucose level， blood glucose at 2 h after dinner， glycosylated hemoglobin level in the observation group were lower than those in the control group， and the differences were obvious（P0.05）， and the incidence rate of adverse pregnant outcome and incidence rate of adverse outcome of perinatal infants in the observation group were lower than those in the control group（8.3%，10.4% vs 27.1%， 29.2%）， and the differences were obvious by comparison（P0.05）. Conclusion The standardized treatment of gestational diabetes mellitus can obviously improve the pregnant outcome of patients and outcome of perinatal infants， but also can effectively adjust the blood glucose level， which is a treatment method worth further reference and application in clinic. 　　[Key words] Gestational diabetes mellitus； Standardized treatment； Pregnant outcome 　　糖尿病是一?N较为常见的临床慢性代谢性病症。近些年来，随着社会经济的快速发展，