血糖有效控制对妊娠期糖尿病孕妇母婴妊娠结局的影响分析

摘要

目的：探讨血糖控制对妊娠期糖尿病（GDM）孕妇母婴妊娠结局的影响。方法：对本院收治的46例GDM孕妇，依据血糖控制情况分为血糖控制满意组（A组，26例）和血糖控制不满意组（B组，20例），比较两组孕妇分娩结局和围生儿并发症发生率的差异。结果：A组妊娠期高血压、羊水过多、感染、产后出血和胎膜早破等发生率均显著低于B组，两组比较差异均有统计学意义（P<0.05）；A组早产、巨大儿、新生儿窒息、胎儿宫内窘迫和新生儿低血糖等发生率也低于B组，两组比较差异均有统计学意义（P<0.05）。结论：有效控制血糖对于改善孕妇分娩结局，减少母婴并发症发生具有重要意义，临床应重视血糖筛查，早期诊断及治疗妊娠期糖尿病。%Objective:To investigate the effect of glycemic control for maternal pregnancy outcomes of pregnant women with gestational diabetes(GDM). Method:Forty-six cases of GDM women in the hospital were divided into satisfied glycemic control group(A group,26 cases)and dissatisfied glycemic control group(B group,20 cases)based on glycemic control. The birth outcomes and perinatal morbidity of two groups were compared. Result:The gestational hypertension, polyhydramnios,infection,postpartum hemorrhage and rupture of membrane of A group were significantly lower than those of B group(P<0.05).The premature birth,big children,neonatal asphyxia,fetal distress and neonatal hypoglycemia of A group were significantly lower than those of B group(P<0.05). Conclusion:Ideal glycemic control for improving birth outcomes and reducing maternal morbidity for pregnant women is significant. Clinical attention should be paid to blood sugar screening,early diagnosis and treatment of gestational diabetes.