摘要
目的研究控制血糖水平对妊娠期糖尿病孕妇妊娠结局和新生儿并发症的影响。方法选取我院2007年7月至2013年6月收治的116例妊娠期糖尿病孕妇,按照是否有效控制血糖分为研究组(62例)和对照组(54例),比较两组妊娠结局和新生儿并发症的发生情况。结果研究组和对照组年龄、生产次数及妊娠次数差异无统计学意义(P>0.05);来院时妊娠周数研究组少于对照组,差异有统计学意义(P<0.05);血糖成功控制后,研究组空腹血糖(FPG)、餐后2 h血糖(2 hPG)低于对照组,差异有统计学意义(P<0.05)。研究组和对照组孕妇羊水过少、产后出血及感染发生情况差异无统计学意义(P>0.05);研究组妊娠期高血压、剖宫产、羊水过多、胎膜早破发生情况少于对照组,差异有统计学意义(P<0.05)。研究组和对照组新生儿肺透明膜病、低血钙、先天畸形及死亡发生情况差异无统计学意义(P>0.05);研究组早产儿、巨大儿、胎儿窘迫、新生儿窒息、高胆红素血症、低血糖发生情况少于对照组,差异有统计学意义(P<0.05)。结论控制血糖水平可以减少妊娠期糖尿病孕妇不良妊娠结局和新生儿并发症的发生。
Objective To study the effects on pregnancy outcomes and neonatal complications of glycemic control in pregnant women with gestational diabetes. Methods Selected 116 cases of pregnant women with gestational diabetes who treated in our hospital from July 2007 to June 2013, according to the effectiveness of blood glucose control divided into study group （62 cases） and control group （54 cases）, compared the incidence of pregnancy outcomes and neonatal complications between two groups. Results Between two groups age, frequency of pregnancies, frequency of parturition had no significant difference （P 〉 0. 05）, the number of weeks of pregnancy in study group were lower than the control group, the difference was statistically significant （ P 〈 0. 05 ）, after glycemic con- trol success, study group fasting plasma glucose （ FPG）, 2 - hour postprandial glucose （2 hPG） were lower than the control group, the difference was statistically significance （P 〈 0. 05）. Study group and the control group too little amniotic fluid of pregnant women, the incidence of postpartum hemorrhage and infection was no significant difference （ P 〉 0. 05 ）, study group gestational hypertension, ce- sarean section, too much amniotic fluid, premature rupture of membranes were lower than control group, the difference was statistically significant （P 〈 O. 05）. Study group and tile control group hyaline membrane disease, hypoealcemia, congenital malformations and death occurred was not statistically significant （ P 〉 0. 05）, study group of preterm children, great children, fetal distress, neonatal as- phyxia, hyperbilirubinemia red pigment hypertriglyceridemia, hypoglycemia incidence were lower than the control group, the difference was statistically significant （ P 〈 0.05）. Conclusion . The control of blood glucose levels in pregnant women with gestational diabetes can reduce the occurrence of adverse pregnancy outcomes and neonatal complications.
出处
《辽宁医学院学报》
CAS
2014年第1期59-61,共3页
Journal of Liaoning Medical University (LNMU) Bimonthly
关键词
血糖控制
妊娠结局
新生儿并发症
妊娠期糖尿病
glycemic control
pregnancy outcomes
neonatal complications
gestational diabetes
