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目的探讨控制妊娠期糖尿病孕妇血糖对减少母体及围产儿并发症和改善妊娠结局的意义。方法将131例妊娠期糖尿病治疗组、47例妊娠期糖尿病未治疗组和165例正常孕妇进行比较,分析在孕产妇和围生儿并发症方面有无差异。结果妊娠期糖尿病治疗组只有剖宫产高于对照组(P<0.05)。未治疗组孕产妇的先兆子痫、羊水过多、酮症酸中毒、产后出血、胎膜早破、剖宫产、早产和胎儿宫内窘迫的发生率均明显高于对照组,差异有统计学意义(P<0.05),围产儿的巨大胎儿、新生儿低血糖、高胆红素血症、新生儿窒息的发生率亦均明显高于对照组,差异有统计学意义(P<0.05)。结论重视血糖筛查,及时诊断和治疗妊娠期糖尿病可以有效地降低母儿并发症的发生率。
Objective To investigate the significance of controlling blood glucose in pregnant women with gestational diabetes to reduce complications of maternal and perinatal women and improve pregnancy outcome. Methods 131 cases of gestational diabetes mellitus treated group, 47 cases of gestational diabetes mellitus untreated group and 165 cases of normal pregnant women were compared in the analysis of maternal and perinatal complications with or without differences. Results Only cesarean section in gestational diabetes mellitus group was higher than that in control group (P <0.05). The incidence of preeclampsia, polyhydramnios, ketoacidosis, postpartum hemorrhage, premature rupture of membranes, cesarean section, preterm birth and fetal distress in untreated group were significantly higher than those in control group (P <0.05). The incidences of macrosomia, neonatal hypoglycemia, hyperbilirubinemia and neonatal asphyxia in perinatal children were also significantly higher than those in the control group (P <0.05) . Conclusion The importance of blood glucose screening, timely diagnosis and treatment of gestational diabetes can effectively reduce the incidence of maternal and child complications.