早期血糖控制对妊娠糖尿病孕妇妊娠结局的影响研究

目的探索早期控制妊娠糖尿病孕妇的血糖,对其妊娠结局造成的影响。方法回顾性分析本院68例妊娠期糖尿病患者,其中40例患者在孕前期经过了系统的检查并给予早期血糖控制,血糖控制较好者为治疗组;13例患者孕期确诊了糖尿病并给予血糖控制,但控制效果不理想,15例患者在妊娠期间没有经过系统筛查和血糖控制,而是在分娩时发现糖尿病,一共28例患者归为对照组。比较两组患者的妊娠结局。结果治疗组孕妇发生妊娠高血压患者、剖宫产、羊水过多的发生率都明显低于对照组,且差异具有统计学意义;产后出血的发生率治疗组与对照组比较差异无显著性。治疗组新生儿早产、巨大儿、胎儿窘迫、新生儿窒息以及低血糖的发生率明显低于对照组;新生儿的死亡率两组比较无明显差异。结论对妊娠期糖尿病患者进行早期血糖控制能有效改善患者的妊娠结局。

Study on the effect of the early glycemic control on the pregnancy outcome in pregnant women with gestational diabetes

Objective To explore the effect of the early glycemic control on the pregnancy outcome in pregnant women with gestational diabetes. Methods Sixty-eight cases of pregnant women with gestational diabetes were analyzed retrospectively, among whom 40 cases received a systemic physical examination and early glycemic control in the pre-pregnancy period, and the cases with good glycemic control were divided into the treatment group; 13 cases were diagnosed with diabetes during pregnancy and received the glycemic control treatment, but the control effect was not good; 15 cases had not re - ceived the systemic physical examination as well as the glycemic control during pregnancy, but who were discovered dia - betes in parturition. Thus, all these 28 cases were divided into the control group. The pregnancy outcomes were compared between the two groups. Results The incidence of pregnancy hypertension, cesarean section and polyhydramnios of the treatment group was significantly lower than those of the control group, and the differences were statistical significance; there was no significant difference of the incidence of postpartum hemorrhage between the treatment group and the control group; the incidence of premature delivery, giant infant, fetal distress and hypoglycemia of the treatment group were signifi - cantly lower than those of the control group; the death rates of the two groups had no significant difference. Conclusion The early glycemic control in pregnant women with gestational diabetes can improve pregnancy outcomes effectively.