血糖控制对减少妊娠期糖尿病孕妇不良妊娠结局的影响

目的:评价血糖控制对于减少妊娠期糖尿病孕妇不良妊娠结局的影响。方法:回顾性分析某院收治的88例妊娠期糖尿病患者进行研究,按照血糖控制情况分为血糖控制不佳组44例(空腹血糖≥5.8mmol/L或餐后2h血糖≥6.7mmol/L)、血糖有效控制组44例(空腹血糖<5.8mmol/L或餐后2h血糖<6.7mmol/L),另选取同期产检的正常孕妇为对照组50例,对比3组妊娠结局。结果:3组死胎发生率、IgA、IgM水平对比无差异无统计学意义(P>0.05);血糖控制不佳组的胎膜早破、羊水过多、早产、胎儿窘迫发生率明显高于血糖有效控制组、对照组(P<0.05);IgG低于血糖有效控制组、对照组(P<0.05)。结论:妊娠期糖尿病治疗后血糖得到有效控制后,可改善妊娠结局,因此临床应做好产检筛查工作。

Effect of Blood Glucose Control on Reducing Adverse Pregnancy Outcomes in Pregnant Women with Gestational Diabetes

Objective:To evaluate the effect of blood glucose control on reducing adverse pregnancy outcomes in pregnant women with gestational diabetes.Methods:A retrospective analysis was performed on 88 patients with gestational diabetes admitted to a hospital,in accordance with poor blood glucose control,they were divided into unwell glucose controlling group of 44 cases(fasting glucose tendency≥5.8mmol/L or 2h postprandial blood glucose≥6.7mmol/L),well glucose controlling group of 44 cases(fasting glucose tendency<5.8mmol/L or 2h postprandial blood glucose<6.7mmol/L).In addition,50 normal pregnant women were selected as the control group for the concurrent prenatal examination,and the pregnancy outcomes of the three groups were compared.Results:The incidence of three groups of stillbirth,IgA and IgM level compared to no difference no statistical significance(P>0.05);The incidence of premature rupture of membranes,excessive amniotic fluid,premature delivery and fetal distress in the unwell glucose controlling group was significantly higher than that in the well glucose controlling group and the control group(P<0.05),IgG was lower than that of the well glucose controlling group and control group(P<0.05).Conclusion:Effective control of blood glucose after the treatment of gestational diabetes can improve the pregnancy outcome;Therefore the clinical work of prenatal screening should be done.