妊娠合并糖尿病治疗对母婴预后影响分析.docVIP

妊娠合并糖尿病治疗对母婴预后影响分析 　　[摘要] 目的 观察与研究妊娠合并糖尿病治疗对母婴预后所产生的影响。方法 选取该院于2015年5月―2017年5月所接收的妊娠合并糖尿病患者40例，应用随机数表法将患者予以随机划分，分别为参照组与观察组，每组20例。参照组患者在分娩前未实施正规化体检，导致糖尿病治疗不及时，而观察组则在分娩前开展正规化体检与治疗，对两组患者分娩结局进行对比分析。 结果 从两组患者的分娩结局来看，观察组胎儿不良结局的发生率（10.0%）、并发症发生率（15.0%）要明显低于参照组（胎儿不良结局的发生率为30.0%、并发症发生率为35.0%）的两项指标，数据差异有统计学意义（P0.05）。结论 妊娠合并糖尿病治疗工作的开展，能尽可能降低胎儿不良结局与并发症的发生率，安全高效，对母婴预后具有显著的改善效果，便于在临床上推广与使用。 　　[关键词] 妊娠合并糖尿病；母婴预后；影响 　　[中图分类号] R714 [文献标识码] A [文章编号] 1672-4062（2017）11（b）-0015-02 　　[Abstract] Objective To observe and research the effect of pregnancy combined with diabetes treatment on the maternal and infant prognosis. Methods 40 cases of patients with pregnancy and diabetes admitted and treated in our hospital from May 2015 to May 2017 were selected and randomly divided into two groups with 20 cases in each， the control group did not use the normal physical examination thus leading to unseasonal diabetes treatment， while the observation group developed the normal physical examination and treatment before delivery， and the delivery outcome was compared between the two groups. Results The incidence rate of adverse outcomes of fetuses and incidence rate of complications in the observation group were obviously lower than those in the control group， （10.0%， 15.0% vs 30.0%， 35.0%）， and the differences were obvious， with statistical significance（P0.05）. Conclusion The development of treatment work of patients with pregnancy and diabetes can reduce the incidence rates of adverse outcomes and complications of fetuses， and it is safe and effective， which can have an obvious improvement effect on the maternal and infant prognosis， and it is worth clinical promotion and application. 　　[Key words]Pregnancy combined with diabetes； Maternal and infant prognosis； Effect 　　在临床上，妊娠合并糖尿病属于产科中的一类高危型疾病，一旦患上此类疾病，极易引发系列并发症，如妊娠期高血压、酮症酸中毒等[1]，会对患者分娩结局产生影响，如容易导致巨大儿、新生儿低血糖等。为提升母婴预后效果，分娩之前必须实施正规化体检与治疗。对此，该文选取该院于2015年5月―2017年5月所接收的妊娠合并糖尿病患者40例，对妊娠合并糖尿病正规化体检与治疗之后对母婴预后所产生的影响进行回顾性分析，现报道如下。 　　1 资料与方法 　　1.1 一