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目的研究妊娠期糖尿病(GDM)孕期血糖控制水平与妊娠结局的相关性。方法将本院收治的GDM孕妇根据孕期血糖控制水平分为观察组与对照组,对比两组产妇、新生儿结局,分析其相关性。结果除剖宫产外,观察组各项并发症发生率均明显低于对照组(P<0.05);观察组新生儿窒息、低血糖、红细胞增多症及高胆红素血症的发生均明显低于对照组(P<0.05);观察组巨大儿发生率显著低对照组(P<0.01)。结论 GDM患者孕期血糖控制水平与母婴结局密切相关,良好的控制血糖水平可有效降低生产风险,改善母婴结局。
Objective To study the correlation between the level of glycemic control in gestational diabetes mellitus (GDM) during pregnancy and the outcome of pregnancy. Methods The GDM pregnant women admitted to our hospital were divided into observation group and control group according to the level of glycemic control during pregnancy. The correlation between the two groups of maternal and neonatal outcomes was analyzed. Results In addition to cesarean section, the incidence of complications in the observation group was significantly lower than that of the control group (P <0.05); neonatal asphyxia, hypoglycemia, polycythemia and hyperbilirubinemia were significantly (P <0.05). The incidence of macrosomia in observation group was significantly lower than that in control group (P <0.01). Conclusion The level of glycemic control during pregnancy is closely related to the outcome of maternal and infant. The good control of blood glucose level can effectively reduce the production risk and improve the maternal and infant outcome.