妊娠期糖尿病血糖控制水平对母婴结局影响研究.docVIP

妊娠期糖尿病血糖控制水平对母婴结局影响研究 　　[摘要] 目的 探讨妊娠期糖尿病血糖控制水平对母婴结局的影响。 方法 在2013年6月～2014年6月期间选择50例健康体检产妇（对照组）和100例妊娠期糖尿病产妇为此次研究对象，根据其血糖控制情况将妊娠期糖尿病产妇分为血糖控制满意组（A组，n=50）和血糖控制不满意组（B组，n=50），对受检者进行血糖实验，观察三组受检者产妇妊娠结局。 结果 A组产妇产褥期并发症发生率和新生儿并发症发生率与对照组之间比较，差异无统计学意义（P0.05）；B组产妇产褥期并发症发生率和新生儿并发症发生率明显高于对照组，差异有统计学意义（P0.05）。 结论 血糖控制在妊娠期糖尿病产妇中效果显著，可改善产妇妊娠结局。 　　[关键词] 妊娠期；糖尿病；血糖；母婴结局 　　[中图分类号] R714.25 [文献标识码] B [文章编号] 1673-9701（2017）02-0039-03 　　Study on the effect of the controlled level of blood glucose on maternal and infant outcome in gestational diabetes mellitus 　　WEI Xiaodan 　　Department of Gynecology， Guangxi Autonomous Region Minzu Hospital， Nanning 530001， China 　　[Abstract] Objective To explore the effect of the controlle level of blood glucose on maternal and infant outcome in gestational diabetes mellitus. Methods 50 healthy mothers and 100 pregnant women with gestational diabetes mellitus from June 2013 to June 2014 were selected as the subjects. For the pregnant women with gestational diabetes mellitus， according to their control situation of blood glucose， they were divided into satisfactory blood glucose control group （group A； 50 cases） and unsatisfactory blood glucose control group （group B； 50 cases）. The blood glucose test was performed on the subjects， and the pregnancy outcomes of the three groups were observed. Results There was no significant difference in the incidence rate of postpartum complications and neonatal complications during puerperium between group A and the control group（P0.05）. However， the incidence of postpartum complications and neonatal complications during puerperium in group B was significantly higher than that in the control group， and the difference was significant（P0.05）. Conclusion The effect of blood glucose control in the pregnant women with diabetes mellitus is significant， which can improve the pregnant outcome. 　　[Key words] Pregnancy； Diabetes； Blood glucose； Maternal and infant outcome 　　糖尿病?l生的主要原因为胰岛素分泌异常，若未及时干预，可引起机体并发营养代谢障碍。同时由于产妇在妊