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目的探讨精神紧张对妊娠期糖尿病患者的影响。方法随机选取2013年7月—2014年6月于该院进行就诊的80例精神紧张妊娠期糖尿病患者,作为观察组;并随机选择80例同期正常情绪妊娠期糖尿病患者,作为对照组。回顾性分析两组患者的临床资料,比较两组患者孕期体重变化情况、妊娠末期空腹血糖及餐后2 h血糖情况、以及妊娠结局情况。结果观察组患者孕期体重增加、妊娠末期空腹血糖及餐后2 h血糖水平显著高于对照组,P<0.05,差异有统计学意义;观察组患者早产、羊水过多、子痫前期、巨大儿及剖官产率均显著高于对照组,P<0.05,差异有统计学意义。结论精神紧张对妊娠期糖尿病患者有极大的负面影响,不利于患者糖尿病治疗以及顺利生产,需对妊娠期糖尿病患者精神紧张进行有效控制。
Objective To investigate the effect of mental stress on gestational diabetes mellitus. Methods Eighty patients with tension-gestational diabetes who were treated in our hospital from July 2013 to June 2014 were randomly selected as the observation group. Eighty patients with normal gestational diabetes mellitus at the same period were randomly selected as the control group. The clinical data of two groups of patients were retrospectively analyzed. The changes of body weight during pregnancy, the fasting blood glucose during the last trimester, the 2-hour postprandial blood glucose, and the pregnancy outcome were compared. Results The weight gain during pregnancy, fasting blood glucose during the third trimester of pregnancy and postprandial blood glucose at 2 h were significantly higher in the observation group than in the control group (P <0.05), and the difference was statistically significant. In the observation group, preterm labor, polyhydramnios, preeclampsia, macrosomia And cadaver rate were significantly higher than the control group, P <0.05, the difference was statistically significant. Conclusion Mental stress has a tremendous negative impact on patients with gestational diabetes mellitus, is not conducive to the treatment of diabetes and smooth production, the need for effective control of mental stress in patients with gestational diabetes.