妊娠糖尿病规范化治疗与妊娠结局的临床分析

目的观察妊娠糖尿病患者经规范化治疗后母婴患病率及不同血糖水平对妊娠结局的影响。方法对86例妊娠糖尿病患者采用规范化治疗后，分析其妊娠结局。结果妊娠糖尿病规范化治疗后与正常孕妇母婴患病率无显著性差异：空腹血糖在4．0～4．8mmol／L，餐后2h血糖在4．8-7．0mmol／L，糖化血红蛋白在5％～6．2％范围内妊娠糖尿病患者母婴患病率最低。结论妊娠糖尿病经规范化治疗能减少母婴并发症，妊娠结局与血糖及糖化血红蛋白水平密切相关。

Clinical study on the relationship between the routine therapy of diabetes in pregnancy and pregnancy outcomes

Objective To observe diabetes in pregnancy the incidence rates of maternal and fetal after the routine merapy anu the different blood glucose levels influence on pregnancy outcomes. Methods To analyse the pregnancy outcomes of 86 cases diabetes in pregnancy after they were treated by the routine way. Results The incidence rates of maternal and fetal have no distinctively difference between diabetes in pregnancy and normal pregnancy ; the incidence rate of maternal and baby was the lowest when the fasting blood glucose lies in the 4.0 - 4.8mmol/L, postprandial glucose in 4.4 - 6.8mmol/L and glycohemoglobin in 5 % - 6.2 % scopes. Conclusion The complications can be decreased by the routine treatment ; pregnancy outcomes have relation with the levels of blood glucose and glycohemoglobin.