妊娠期糖尿病规范化治疗对妊娠结局影响.docVIP

妊娠期糖尿病规范化治疗对妊娠结局影响 　　[摘要] 目的 探究妊娠期糖尿病规范化治疗对妊娠结局的影响。 方法 选取2014年11月―2015年1月该院收治的妊娠期糖尿病患者50例，将患者随机分为两组，每组25例。采用常规方法治疗的25例患者为常规治疗组，在常规治疗基础上采用规范化治疗的25例患者为规范化治疗组。观察两组患者治疗后的血糖水平、显性糖尿病发病率、妊娠相关情况及围生儿结局。 结果 规范化治疗组患者治疗后的空腹血糖、餐后2 h血糖及糖化血红蛋白均明显低于对照组（P0.05），显性糖尿病的发病率显著低于常规治疗组（P0.05），妊娠相关情况及围生儿结局均明显优于常规治疗组（P0.05）。 结论 对妊娠糖尿病患者进行规范化治疗可有效控制患者的血糖水平，降低显性糖尿病发生率，改善妊娠结局，值得推广应用。 　　[关键词] 妊娠期糖尿病；规范化治疗；妊娠结局；影响 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2016）02（a）-0073-03 　　Gestational Diabetes Mellitus （GDM） Standardized Treatment Effects on Pregnancy Outcome 　　YANG Yu-huan 　　Daqing City Combine Traditional Chinese and Western Medicine Hospital of Obstetrics and Gynecology， Daqing， Heilongjiang Province， 163000 China 　　[Abstract] Objective To explore the standardization gestational diabetes treatment effects on pregnancy outcome. Methods Select in November 2014 - January 2015 of our hospital， 50 patients with gestational diabetes， patients were randomly divided into two groups， each group of 25 cases. Treatment of the conventional methods for routine treatment group， 25 patients in the conventional treatment on the basis of the standardized treatment of 25 patients for standardized treatment group. Observe the two groups after treatment in patients with blood sugar levels， overt diabetes and pregnancy outcome in relevant situation and perinatals. Results Standardized treatment group after treatment in patients with the results of the fasting blood glucose， 2 h postprandial blood glucose， and glycosylated hemoglobin were significantly lower than control group （P 0.05）， the incidence of overt diabetes was significantly lower than that of conventional treatment group （P 0.05）， ending in pregnancy-related conditions and perinatals were significantly superior to the conventional treatment group （P 0.05）. Conclusions Standardized treatment in patients with gestational diabetes mellitus can effectively control the patients blood sugar level， reduce the incidence of overt diabetes， to imp