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目的探讨妊娠期糖尿病孕妇血糖控制情况对母婴预后的影响。方法选取2013年1月-2014年12月在该院生产的妊娠期糖尿病产妇50例为研究对象,其中16例血糖未有效控制患者为对照组,34例血糖控制较好患者为观察组。观察两组产妇的妊娠结局以及新生儿并发症发生情况,并将两组数据进行比较。结果两组产妇发生产后出血、先兆子痫、胎儿窘迫的比例比较,差异无统计学意义(P>0.05),对照组发生剖宫产、早产、羊水过多、胎膜早破、巨大儿的比例明显高于观察组,差异有统计学意义(P<0.05)。两组新生儿并发症中,新生儿低钙血症、新生儿窒息、先天畸形比例比较,差异无统计学意义(P>0.05),但对照组新生儿低血糖血症以及高胆红素血症的发病率明显高于观察组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病孕妇的血糖控制情况对母婴预后有重要影响,应该早期对孕妇血糖情况进行监测,发现问题及时控制,以便减少不良预后的发生。
Objective To investigate the effect of glycemic control on gestational diabetes in pregnant women and their prognosis. Methods Fifty pregnant women with gestational diabetes mellitus were selected from January 2013 to December 2014 in our hospital. Among them, 16 cases were not effectively controlled by blood glucose as control group and 34 cases were better controlled by blood glucose control group. Observe the pregnancy outcome of two groups of maternal and neonatal complications, and the two groups of data were compared. Results There was no significant difference in the proportion of postpartum hemorrhage, preeclampsia and fetal distress among the two groups (P> 0.05). The incidence of cesarean section, preterm birth, polyhydramnios, premature rupture of membranes, macrosomia The proportion was significantly higher than the observation group, the difference was statistically significant (P <0.05). Neonatal hypocalcaemia, neonatal asphyxia, congenital malformations in the two groups of neonatal complications, the difference was not statistically significant (P> 0.05), but the control group neonatal hypoglycemia and hyperbilirubinemia The incidence of disease was significantly higher than the observation group, the difference was statistically significant (P <0.05). Conclusion The control of blood glucose in pregnant women with gestational diabetes has an important influence on the prognosis of pregnant women and infants. The blood glucose level of pregnant women should be monitored early and the problems should be timely controlled to reduce the adverse prognosis.