妊娠糖尿病孕妇血液指标及妊娠结局分析

目的：观察妊娠糖尿病孕妇血液指标变化及妊娠结局。方法：选取2011年6月-2012年11月在本院检查并分娩的全部妊娠糖尿病孕妇（妊娠糖尿病组）共163例,另随机选取在本院检查并分娩的正常孕妇163例（OGTT试验阴性）作为对照组,对比分析两组孕妇血液指标及妊娠结局。结果：随访326例孕妇的血液指标及妊娠结局,妊娠糖尿病组甘油三酯、谷丙转氨酶、新生儿出生体重、子痫发病率较正常孕妇组高（P〈0.05）;正常孕妇组孕妇贫血发病率高于妊娠糖尿病组（P〈0.05）;血液胆固醇、尿酸、谷草转氨酶、乳酸脱氢酶及分娩周数、妊娠高血压、妊娠期肝功能受损、妊娠肝内胆汁淤积综合征、胎盘功能不良、胎膜早破、新生儿窒息、早产、新生儿先天性心脏病、妊娠合并血小板减少症等两组比较差异无统计学意义（P〉0.05）。结论：妊娠糖尿病对孕妇及妊娠结局有影响,应加强妊娠糖尿病营养宣教及饮食指导,妊娠糖尿病孕妇应严格控制好血糖,改善妊娠结局。

The Analysis of Pregnancy Blood Indexes and Pregnancy Outcome of Diabetic Pregnant Women

Objective： To observe the changes of pregnant women blood indexes of diabetes and pregnancy outcome. Method： From June 2011 to November 2012 163 cases in the hospital inspection and delivery of all gestational diabetes meUitus （ gestational diabetes mellitus group ） were selected, the other in our hospital were randomly selected and examined and delivery of 163 normal pregnant women （ OGTT test negative ） as control group, comparative analysis of two groups of pregnant women blood indexes and pregnancy outcome.Result： The blood index of fallow-up of 326 cases of pregnant women and pregnancy outcome in gestational diabetes mellitus group, TG, ALT, neonatal birth weight, the incidence of preeclampsia was higher than normal pregnant women group （ P〈0.05 ） .Normal pregnancy group was higher than that of incidence of anemia in pregnant women with gestational diabetes group （ P〈0.05 ） .Blood cholesterol, uric acid, GPT and childbirth, pregnancy induced hypertension, the number of weeks gestational impaired liver function, placental dysfunction, premature rupture of membranes, neonatal asphyxia, premature birth, congenital heart disease, pregnancy with thrombocytopenia in the two groups had no show significant difference （P〉0.05） .Conclusion： Gestational diabetes have effect on pregnant women and pregnancy outcome of pregnancy, should strengthen education and diet nutrition guidance of diabetes, gestational diabetes mellitus pregnant women should be strict control of blood glucose, improve the pregnancy outcome.