妊娠期糖尿病孕妇控制血糖对母婴预后的影响

目的 探讨控制血糖对妊娠期糖尿病孕妇母婴并发症和预后的意义.方法 根据血糖控制情况将120例妊娠期糖尿病孕妇分成血糖控制理想组(A组,86例)与血糖控制不理想组(B组,34例),另外收集正常孕妇50例作为正常对照组,观察并比较母婴并发症和孕妇预后方面的差异.结果 A组中只有妊娠高血压发生率明显高于正常对照组孕妇(x2=5.920,P＜0.05),而B组中妊娠期高血压、羊水过多、巨大儿、早产及新生儿窒息的发生率均明显高于A组(均P＜0.05).结论 应当重视孕妇血糖的筛查,尤其对妊娠期糖尿病孕妇要进行早期诊断和早期治疗,理想控制血糖对减少母婴并发症和改善预后具有重要意义.

The influence of controlling plasma glycemia in women with gestational diabetes mellitus on the prognosis of maternal and fetus

Objective To observe the climical significance of controlling plasma glycemia in pregnant women with gestational diabetes mellitus（GDM） for improving the pregnant result and reducing the complications of maternal and fetus.Methods 120 pregnant women with GDM were dioided into two groups according to the information of plasma glycemia control,including 86 cases with well-controlled plasma glycemia（A group）and 34 cases with poor-controlled plasma glycemia（B group）.50 cases normal pregnancy were selected as control group.The differences in complications of maternal and fetus were observed.Results Only the morbidity of PIH of A group was higher than that in normal pregnant women（χ2=5.920,P＜0.05）,while the morbidity of PIH,polyhydramnios,fetal macrosomia,premature labor,and newborn asphyxia in B group were higher than those in A group（all P＜0.05）.ConclusionPaying more attention on screening GDM in pregnant women,early diagnosis and control of blood glucose was essential for reducing the incidence of maternal and fetal complications.