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目的:探讨妊娠期糖尿病患者血糖控制对妊娠结局的影响。方法:回顾性分析205例妊娠期糖尿病患者的临床资料。结果:观察组139例患者妊娠期高血压、胎膜早破、产后出血及剖宫产的发生率明显小于对照组,经比较分析差异有统计学意义(P<0.05);观察组患者早产、巨大儿、新生儿窒息、新生儿高胆红素血症的发生率明显小于对照组,经比较分析差异有统计学意义(P<0.05);新生儿低血糖发生情况无明显差异(P>0.05)。结论:早期筛查、确诊妊娠期糖尿病,并给予及时有效的干预治疗,积极控制血糖,对防治妊娠并发症、改善妊娠结局有重要意义。
Objective: To investigate the effect of glycemic control on gestational outcome in patients with gestational diabetes mellitus. Methods: A retrospective analysis of 205 cases of gestational diabetes clinical data. Results: The incidence of gestational hypertension, premature rupture of membranes, postpartum hemorrhage and cesarean section in 139 patients in observation group were significantly lower than those in control group (P <0.05). The incidence of preterm labor, The incidence of neonatal hyperbilirubinemia was significantly less than that of the control group in macrosomia, neonatal asphyxia and neonatal hypoglycemia (P <0.05). There was no significant difference in neonatal hypoglycemia (P> 0.05 ). Conclusion: Early screening, diagnosis of gestational diabetes mellitus, and timely and effective interventions, and actively control blood sugar, prevention and treatment of pregnancy complications, improve pregnancy outcome is of great significance.