妊娠糖尿病血糖水平对孕妇及胎儿影响的研究

目的：研究妊娠糖尿病（GDM）不同血糖控制水平对孕妇及胎儿的影响。方法：83例妊娠糖尿病为GDM组,120例健康体检孕妇为对照组,观察两组病理妊娠、围产儿并发症及分娩方式差异,并比较不同血糖控制水平妊娠糖尿病孕妇妊娠结局情况。结果：GDM组妊高症、胎膜早破、羊水过多、早产、新生儿窘迫、高胆红素血症、巨大儿发生率及剖宫产与对照组均有统计学差异（P〈0.05）,均高于对照组;GDM组血糖控制〉7.8mmoL/L水平患者妊高症、胎膜早破、新生儿窘迫、高胆红素血症、巨大儿发生率均高于其他两组。结论：GDM高血糖与妊娠期多种并发症关系密切,对母婴健康危害严重,早期干预,控制血糖对不良妊娠结局的预防有重要的临床意义。

Study on the Effect of Gestational Diabetes Glucose Levels on Pregnant Woman and Fetus

Objective： To study the effect of gestational diabetes mellitus（ GDM） with different blood glucose levels on pregnant woman and fetus. Method： 83 cases of gestational diabetes mellitus as GDM group,120 cases of healthy pregnant woman as control group,the two groups were observed between pathological pregnancy,perinatal complications and delivery methods,and compared the different blood glucose levels in gestational diabetes mellitus pregnant outcome. Result： The pregnancy-induced hypertension,premature rupture of membranes,polyhydramnios,prematurity,neonatal distress,hyperbilirubinemia,a huge incidence of child and cesarean section in GDM group and the control group were statistically significant（ P〈0.05）,which was higher in GDM group; different levels of glycemic control in patients with pregnancy-induced hypertension,premature rupture of membranes,neonatal distress,hyperbilirubinemia,a huge incidence rate of children with poor glycemic in GDM groups were higher than other groups. Conclusion： The relationship between GDM hyperglycemia and pregnancy complications closely relation,serious harm to the health of mother and infant. The early intervention has important clinical significance in prevention of blood glucose control on adverse pregnancy outcomes.