妊娠期糖尿病血糖控制对胎儿窘迫影响分析.docVIP

妊娠期糖尿病血糖控制对胎儿窘迫影响分析 　　[摘要] 目的 比较妊娠期糖尿病（ GDM）孕妇血糖控制情况的不同与胎儿窘迫、剖宫产发生率，并从形态学结合妊娠期糖尿病临床特征的角度探讨胎盘结构的影响因素，为妊娠期糖尿病的孕期规范化管理及妊娠结局的改善提供依据。方法 2015年1月―2016年1月选取妊娠期糖尿病孕妇68例，根据血糖控制情况分为血糖控制理想组32例，血糖控制不理想组36例，及同期分娩的正常组40名，进行胎心监护监测产时胎监、分娩方式及胎盘病理检查的比较。结果 血糖控制理想组中，与对照组比较，胎心监护异常发生率、剖宫产率，差异无统计学意义。血糖控制不理想组中胎心监护异常率、剖宫产率与血糖控制理想组间比较差异有统计学意义。结论 孕期良好控制血糖，可减少或避免妊娠期糖尿病孕妇胎盘超微结构发生改变，并达到降低糖尿病孕妇剖宫产率、促进自然分娩的目的。 　　[关键词] 妊娠期糖尿病；胎儿窘迫；影响分析 　　[中图分类号] R714.25 [文献标识码] A [文章编号] 1672-4062（2017）04（b）-0055-04 　　[Abstract] Objective To compare the different blood glucose control situations of GDM and incidence rates of fetal distress and cesarean section and study the influence factors of placental structure from the clinical features of morphology and gestational diabetes thus providing reference for the standardized management of pregnant period of gestational diabetes and improvement of gestational outcome. Methods 68 cases of delivery women with gestational diabetes from January 2015 to January 2016 were selected and divided into two groups according to the blood glucose control situation， including 32 cases in the ideal control group and 36 cases in the non-ideal control group， and 40 cases of normal delivery at the same period were selected and the fetal monitoring， delivery method and placenta pathological examination were compared between the two groups. Results The differences in the incidence rate of abnormal fetal heart monitoring and cesarean section rate between the ideal blood glucose control group and control group were not statistically significant， and the differences in the abnormal rate of fetal heart monitoring， cesarean section rate between the ideal group and non-ideal group were statistically significant. Conclusion The good control of blood glucose during the pregnant period can reduce or avoid the changes of placental ultrastructure of delivery women with gestational diabetes and reach the goals of reducing the cesarean section rate of diabetes delivery women and promoting the natu