妊娠期糖尿病患者血糖水平与不良妊娠结局的相关性探讨

目的比较妊娠期糖尿病患者血糖水平与临床不良妊娠结局之间的相关性。方法 GDM患者共60例列入血糖水平异常组,同期血糖正常的健康孕产妇60例列入血糖水平正常组,记录两组患者分娩情况,筛查不良妊娠结局。结果血糖水平异常组孕产妇出现羊水过多、妊高征、剖宫产和产后出血的比例极明显高于血糖水平正常组孕产妇,血糖水平异常组围产儿发生胎儿窘迫、巨大儿、新生儿低血糖和新生儿窒息的比例极明显高于血糖水平正常组围产儿,数据间比较差异具有统计学意义(P<0.01)。结论 GDM患者的高血糖水平促进了不良妊娠结局的增加,加大母婴危险性,应对患者积极进行综合治疗与护理,强调患者的主观能动性,督促和鼓励患者有效控制和改善血糖水平。

Correlation Between Blood Glucose Levels in Patients with Gestational Diabetes and Adverse Pregnancy Outcomes

Objective To explore the correlation between blood glucose levels in patients with gestational diabetes and adverse pregnancy outcomes. Methods 60 GDM patients were selected as the abnormal blood sugar levels group, while another 60 parturients with normal blood glucose at the same period were selected as the normal blood sugar levels group. The primary outcome was a record of the childbirth of the two groups, in which the adverse pregnancy outcomes were screened. Results Polyhydramnios, pregnancy-induced hypertension syndrome, cesarean delivery, and postpartum hemorrhage in the abnormal maternal glucose levels group were significantly higher than those of the normal blood sugar levels group. The incidence of fetal distress, macrosomia, neonatal hypoglycemia and neonatal asphyxia of the abnormal blood glucose levels group was significantly higher than that of the normal blood sugar levels group （P ＆lt;0.01）. Conclusions The high blood sugar level in the GDM patients increases the incidence of adverse pregnancy outcomes as well as the risk for mothers and children. Positive comprehensive treatment and care should be applied to the patients, and patient＇s initiative should be emphasized. And the patients should be supervised and encouraged to effectively control and improve their blood sugar levels.