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目的研究血糖控制措施对妊娠期糖尿病患者妊娠结局及新生儿状况的影响。方法选取120例妊娠期糖尿病患者作为研究对象,按入院顺序分为对照组(2012年3月-2013年3月)和观察组(2013年4月-2014年3月)各60例。对照组不采取血糖控制措施,观察组则采取系统的血糖控制措施,调查分析两组的妊娠并发症情况、剖宫产情况以及两组患者新生儿状况。结果两组患者的感染情况差异无统计学意义(P>0.05)。对照组妊娠期高血压疾病、羊水过多、产后出血以及剖宫产的发生率明显高于观察组,差异有统计学意义(P<0.05)。对照组新生儿窒息、早产儿、巨大儿以及宫内窘迫的发生率明显高于观察组,差异有统计学意义(P<0.05)。结论血糖控制措施可以有效降低妊娠期糖尿病患者妊娠并发症的发生率,并改善新生儿的出生状况。
Objective To study the effect of glycemic control on pregnancy outcome and neonatal status in gestational diabetes mellitus (DM). Methods A total of 120 cases of gestational diabetes mellitus were enrolled in this study. They were divided into control group (March 2012 - March 2013) and observation group (April 2013 - March 2014) according to the order of admission. The control group did not take blood glucose control measures, the observation group took a systematic blood glucose control measures to investigate the two groups of pregnancy complications, cesarean section and two groups of newborns. Results There was no significant difference in infection status between the two groups (P> 0.05). The control group of hypertensive disorders of pregnancy, polyhydramnios, postpartum hemorrhage and cesarean section incidence was significantly higher than the observation group, the difference was statistically significant (P <0.05). The incidence of neonatal asphyxia, preterm children, macrosomia, and intrauterine distress in the control group was significantly higher than that in the observation group (P <0.05). Conclusion The blood sugar control measures can effectively reduce the incidence of pregnancy complications in gestational diabetes mellitus and improve the birth status of newborns.