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目的:探讨对妊娠期糖尿病(GDM)患者进行血糖控制对围生儿的影响。方法:选择我院2009年1月~2011年1月收治的GDM患者120例,依据血糖控制情况分为观察组(80例)和对照组(40例),对两组围生儿的结局进行比较分析。结果:观察组与对照组比较,羊水过多及妊娠高血压综合征(妊高征)发生率均降低,差异有统计学意义(均P<0.05),但产后出血、孕妇感染及剖宫产发生率比较,差异均无统计学意义(均P>0.05)。观察组与对照组比较,早产儿、巨大儿、新生儿窒息发生率均降低,差异有统计学意义(均P<0.05),但新生儿低血糖及胎儿窘迫发生率比较,差异均无统计学意义(均P>0.05)。结论:临床上给予GDM患者运动、饮食、胰岛素疗法等综合治疗,并加强系统的健康宣传教育,重视早期血糖检测,及时治疗,可提高围生儿及产妇的生存质量。
Objective: To investigate the effect of glycemic control on perinatal children in gestational diabetes mellitus (GDM). Methods: A total of 120 GDM patients admitted from January 2009 to January 2011 in our hospital were divided into observation group (80 cases) and control group (40 cases) according to the control of blood glucose. The outcome of two groups of perinatal children comparative analysis. Results: Compared with the control group, the incidence of polyhydramnios and pregnancy induced hypertension (PIH) in the observation group was significantly lower than that in the control group (all P <0.05), but postpartum hemorrhage, pregnant women infection and cesarean section There was no significant difference between the two groups (all P> 0.05). Compared with the control group, the incidence of asphyxia in preterm infants, macrosomia and neonates was significantly lower in the observation group than in the control group (all P <0.05), but there was no significant difference in neonates with hypoglycemia and fetal distress Significance (all P> 0.05). Conclusion: The comprehensive treatment of GDM patients with exercise, diet, insulin therapy and so on, and to strengthen the system of health education, emphasis on early detection of blood glucose, timely treatment can improve the quality of life of perinatal and maternal.