妊娠期糖尿病孕妇血糖控制对妊娠结局的影响分析

目的:探讨控制妊娠期糖尿病(GDM)孕妇血糖对妊娠结局的影响。方法:将104例GDM孕妇根据治疗后血糖情况分为血糖控制满意组84例,血糖控制不满意组20例,并设健康孕妇87例为对照组,对各组妊娠期高血压、胎膜早破、羊水过多、产后出血、巨大儿以及新生儿窒息等指标进行比较。结果:血糖控制满意组的妊娠期高血压、胎膜早破、羊水过多、产后出血、巨大儿以及新生儿窒息等发生率与对照组比较差异均无统计学意义(P>0.05)。血糖控制不满意组的妊娠期高血压、胎膜早破、羊水过多、产后出血、巨大儿以及新生儿窒息等发生率均高于对照组,差异有统计学意义(P<0.05)。结论:有效控制GDM孕妇的血糖对妊娠有较大影响,应及时进行筛查与治疗。

Analysis on the effect of glycemic control of pregnant women with gestational diabetes mellitus on pregnancy outcome

Objective:To explore the effect of blood glucose in pregnant women with gestational diabetes mellitus(GDM) on pregnancy outcome.Methods:A total of 104 pregnant women with GDM were divided into well-controlled blood glucose group(84 pregnant women) and bad-controlled blood glucose group(20 pregnant women) according the levels of blood glucose after treatment,and 87 healthy pregnant women were selected as control group;the incidences of GDM,premature rupture of membrane,polyhydramnios,postpartum hemorrhage,macrosomia,and neonatal asphyxia were compared among the three groups.Results:There was no statistically significant difference in the incidences of GDM,premature rupture of membrane,polyhydramnios,postpartum hemorrhage,macrosomia,and neonatal asphyxia between well-controlled blood glucose group and control group(P>0.05),the incidences of GDM,premature rupture of membrane,polyhydramnios,postpartum hemorrhage,macrosomia,and neonatal asphyxia in bad-controlled blood glucose group were statistically significantly higher than those in control group(P<0.05).Conclusion:Controlling blood glucose effectively has a large impact on pregnancy outcome in pregnant women with GDM,so timely screening and treatment should be carried out.