妊娠期糖尿病患者血糖控制与妊娠结局的关系

目的 探究妊娠期糖尿病(GDM)患者血糖控制与妊娠结局的关系.方法 2017年12月—2019年12月间对该院65例GDM患者的病历资料做回顾性分析,并随机选取30名正常妊娠的孕妇作为健康对照组,GDM患者均给予常规治疗,依据血糖控制情况分为达标组及未达标组,血糖达标以美国糖尿病协会制定的血糖控制目标为标准,分别比较3...

The Relationship between Blood Glucose Control and Pregnancy Outcome in Patients with Gestational Diabetes

Objective To explore the relationship between blood glucose control and pregnancy outcome in patients with gestational diabetes(GDM).Methods From December to December the medical records of 65 patients with GDM in the hospital were retrospectively analyzed,and 30 pregnant women with normal pregnancy were randomly selected as the healthy control group.GDM patients were given conventional treatment.According to the blood glucose control status,they were divided into standard group and non-standard group.The level of blood glucose was based on the blood glucose control goals set by the American Diabetes Association,and the three groups of subjects and the occurrence of perinatal complications were compared.Results There were statistically significant differences in the levels of FBG,2 hPG and HbAlc before delivery among the three groups of subjects(F=36.100,37.634,48.209,P<0.05);the standard group had polyhydramnios,premature rupture of membranes,hypertension during pregnancy,the incidence of ketoacidosis was(5.45%,7.27%,5.45%,9.09%),which were lower than those in the substandard group(60.00%,50.00%,60.00%,70.00%),the difference was statistically significant(χ²=21.104,12.950,19.059,20.854,P<0.05),compared with the healthy control group,the difference was not statistically significant(P>0.05),and the incidence of postpartum infection,postpartum hemorrhage,and cesarean section in the three groups was not statistically significant(P>0.05);the standard group of giant infants,neonatal asphyxia,the incidences of neonatal hypoglycemia and fetal distress were(7.27%,5.45%,3.64%,1.82%),respectively,which were lower than those in the substandard group(60.00%,50.00%,40.00%,40.00%),the difference was statistically significant(χ²=18.071,15.557,9.366,12.412,P<0.05),it was not statistically significant compared with the healthy control group(P>0.05),and the incidence of preterm infants in the three groups was not statistically significant(P>0.05).Conclusion The control of blood glucose level in GDM patients is closely related to pregnancy outcome and perinatal complications.