论文部分内容阅读
目的:探讨妊娠期糖尿病孕妇分娩后引发血糖异常的相关因素。方法:本次选取50例围产期保健及分娩的妊娠期糖尿病孕妇,于产后不同时间段行75g葡萄糖耐量试验,依据检测结果按糖代谢异常组和正常组划分,分析影响产后糖代谢的因素。结果:分娩后8周,GDM孕妇糖代谢异常率为34%,6个月为30%,1年为18%。异常组诊断GDM孕周较正常组早,糖化血红蛋白(Hb Alc)、OGTT2h血糖、空腹血糖(FPG)、GCT血糖均高于正常组,差异有统计学意义(P<0.05)。结论:对GDM的孕周诊断的越早,取胰岛素在孕期控制血糖,产后高脂血症等,均为影响产后糖代谢恢复因素,故需加强此类人群重视,完善产后血脂、血糖随诊及孕期营养健康管理,以延迟或预防糖尿病发生。
Objective: To investigate the related factors of abnormal blood glucose in pregnant women with gestational diabetes after delivery. Methods: Fifty pregnant women with gestational diabetes who had perinatal health care and childbirth were enrolled in this study. The 75g glucose tolerance test was performed at different time points after delivery. According to the results of the test, the abnormal glucose metabolism group and the normal group were divided to analyze the factors affecting the postpartum glucose metabolism . Results: After 8 weeks of delivery, the abnormal rate of glucose metabolism in GDM pregnant women was 34%, 6 months was 30% and 1 year was 18%. Abnormal group diagnosis of GDM gestational weeks earlier than the normal group, HbAc, OGTT2h blood glucose, fasting blood glucose (FPG), GCT blood glucose were higher than the normal group, the difference was statistically significant (P <0.05). Conclusion: The diagnosis of GDM in gestational age is earlier, taking insulin in pregnancy to control blood sugar, postpartum hyperlipidemia and so on are the factors that affect the recovery of postpartum glucose metabolism, it is necessary to strengthen the attention of such people, improve the postpartum blood lipids, blood glucose follow-up And nutrition and health management during pregnancy to delay or prevent the occurrence of diabetes.