浅析早期血糖控制对妊娠糖尿病孕妇妊娠结局影响.docVIP

浅析早期血糖控制对妊娠糖尿病孕妇妊娠结局影响 　　[摘要] 目的 研究分析妊娠糖尿病孕妇接受早期血糖控制的妊娠结局改善情况，探讨早期血糖控制对妊娠结局的影响。 方法 2009年5月―2011年6月该院对68例妊娠期糖尿病患者进行了研究分析，有40例孕妇在孕前期进行了系统检查并提供了早期血糖控制，将其作为治疗组；13例孕期确诊为糖尿病采取了血糖控制措施，但是效果并不理想，有15例孕妇妊娠期?g没有进行筛查和血糖控制，分娩时确诊为糖尿病，这28例孕妇作为对照组，比较两组的妊娠结局。 结果 治疗组孕妇出现妊高血症、剖宫产、羊水过多等的几率比对照组低，结果差异有统计学意义；治疗组产后出血的发生率和对照组对比差异无统计学意义。治疗组新生儿早产、巨大儿、胎儿窘迫、新生儿窒息、低血糖等的发生率比对照组低；新生儿死亡率两组差异无统计学意义。 结论 妊娠期糖尿病患者接受早期血糖控制可以对妊娠结局起到改善效果，临床中应该积极推广使用。 　　[关键词] 妊娠期糖尿病；早期血糖控制；妊娠结局；影响 　　[中图分类号] R714.25 [文献标识码] A [文章编号] 1672-4062（2017）04（a）-0054-02 　　[Abstract] Objective To research and analyze the effect of early blood glucose control on the pregnant outcome of delivery women with gestational diabetes. Methods 68 cases of patients with gestational diabetes admitted and treated in our hospital from May 2009 to June 2011 were selected， 40 cases of delivery women adopted the systematic examination and were given the early blood glucose control and were used as the treatment group， and 13 cases were confirmed with diabetes and adopted the blood glucose control measures but the effect was not ideal， and 15 cases were not given screening and blood glucose control during the pregnant period and confirmed with diabetes at birth， and these 28 cases were used as the control group， and the pregnant outcome was compared between the two groups. Results The occurrence probability of pregnancy induced hypertension， cesarean section， excessive amniotic fluid in the treatment group was lower than that in the control group， and the results were statistically significant， and the difference in the incidence rate of postpartum hemorrhage between the two groups was not statistically significant， and the incidence rates of neonatal premature birth， macrosomia， fetal distress， neonatal asphyxia， hypoglycemia in the treatment group were lower than those in the control group， and the difference in the morality of newborns between the two groups was not statistically significant. Conclusion The early blood glucose control of patien