妊娠期糖尿病孕妇血糖控制情况对妊娠结局和新生儿并发症的临床观察

目的 探讨妊娠期糖尿病孕妇血糖控制情况对妊娠结局和新生儿并发症的影响,并为临床孕妇保健提供实践性指导. 方法 选取湖南省妇幼保健院妇产科于2012年1-12月收治的103例妊娠期糖尿病孕妇,根据孕妇血糖控制良好与否进行分组.其中血糖控制良好者设为研究组,共54例,血糖控制不佳者设为对照组,共49例.记录两组孕妇妊娠结局及妊娠期并发症情况,并做好对比. 结果 （1）研究组孕妇的剖宫产、早产、羊水过多、胎膜早破、巨大儿及死胎发生率均低于对照组,差异有统计学意义（P＜0.05）.（2）研究组新生儿低糖血糖和高胆红素血症发生率低于对照组,差异均有统计学意义（P＜0.05）. 结论 对于妊娠期糖尿病孕妇而言,实施有效的降血糖干预手段,能够转变孕妇的不良妊娠结局,并降低新生儿并发症发生率.

Clinical Observation on the Effect of Blood Glucose Control on Pregnancy Outcomes and Neonatal Complications in Women with Gestational Diabetes

Objective To explore the impact of blood glucose control＇on pregnancy outcomes and neonatal complications in women with gestational diabetes, and provide practical guidance for clinical care of pregnant women. Methods One hundred and three pregnant women with gestational diabetes hospitalized in Department of Obstetrics, Maternal and Child Health Care Hospital of Hunan Province from January to December 2012 were enrolled in this study. According to the status of blood sugar control, 54 pregnant women with satisfied blood sugar control were considered as study group and 49 pregnant women with un- satisfied blood sugar control served as control group. The pregnancy outcomes and gestational complications of the pregnant wom- en in the two groups were recorded and compared. Results The incidence rates of cesarean section, premature delivery, poly- hydramnios, premature rupture of membranes, macrosomia and stillbirth in the pregnant women of study group were all lower than those in control group, and the difference was statistically significant （P 〈 0.05）. The incidence rates of neonatal hypogly- cemia and hyperbilirubinemia in study group were both lower than those in control group, and the difference was statistically sig- nificant （P 〈 0.05）. Conclusions Conducting the effective interventions to lower blood sugar is conducive to pregnant wom- en with gestational diabetes, which can change the adverse pregnancy outcomes of pregnant women and reduce the incidence rate of neonatal complications.