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目的对妊娠期糖尿病患者进行探讨分析,丰富临床诊治经验。方法选择于本院妇产科接受治疗的妊娠期糖尿病患者159例设为观察组,选择同期不存在糖尿病的妊娠孕妇159例设为对照组,首先比较两组孕妇合并高血压、羊水过多、早产以及剖宫产的比例,两组出现巨大儿、胎儿窘迫以及胎儿窒息的几率。同时将观察组中的159例妊娠期糖尿病分成A组80例、B组79例。A组通过人型胰岛素进行血糖的控制,B组则通过动物型胰岛素进行血糖的控制,对比两组血糖的控制有效率。结果观察组孕妇合并高血压、羊水过多、早产以及剖宫产的比例高于对照组孕妇合并高血压、羊水过多、早产以及剖宫产的比例,差异具有统计学意义(P<0.01)。观察组出现巨大儿、胎儿窘迫以及胎儿窒息的几率高于对照组出现巨大儿、胎儿窘迫以及胎儿窒息的几率,差异具有统计学意义(P<0.01)。A组的血糖控制有效率87.5%高于B组血糖控制有效率62.0%,差异具有统计学意义(P<0.01)。结论妊娠期糖尿病对孕妇和新生儿均会产生严重的影响,因此围生期定期检查、及时治疗是降低母婴不良事件发生率、保证母婴安全的重要保障;在条件允许的情况下应用人型胰岛素控制妊娠期糖尿病患者的血糖更为有效。
Objective To investigate and analyze patients with gestational diabetes mellitus, enriching clinical diagnosis and treatment experience. Methods Select 159 cases of gestational diabetes mellitus treated in our hospital obstetrics and gynecology as the observation group, choose the same period of non-diabetic pregnant women 159 cases as the control group, first comparison of two groups of pregnant women with hypertension, polyhydramnios, Preterm birth and cesarean section, two groups of huge children, fetal distress and fetal asphyxia chances. In the meantime, 159 cases of gestational diabetes mellitus in observation group were divided into group A (n = 80) and group B (n = 79). A group of people through the control of blood glucose human insulin, B group was through animal insulin control of blood glucose, blood glucose control two groups compared efficiency. Results The proportion of pregnant women with hypertension, polyhydramnios, premature delivery and cesarean section in observation group was significantly higher than that in control group (P <0.01), and the proportion of pregnant women with hypertension, polyhydramnios, preterm birth and cesarean section was significantly higher in observation group . The incidence of macrosomia, fetal distress and fetal suffocation in the observation group was significantly higher than that in the control group (P <0.01). There was a significant difference between the observation group and the control group in the incidence of macrosomia, fetal distress and fetal asphyxia. The effective rate of blood glucose control in group A was 87.5% higher than that in group B (62.0%), the difference was statistically significant (P <0.01). Conclusions Gestational diabetes mellitus can have a serious impact on both pregnant women and newborns. Therefore, regular perinatal examination and prompt treatment are important guarantees to reduce the incidence of maternal and infant adverse events and ensure the safety of mother and baby. Insulin control of blood glucose in patients with gestational diabetes more effective.