摘要
目的：研究妊娠期糖尿病血糖控制对妊娠结局的影响。方法2011年1月~2013年6月期间，选取75例经相关治疗血糖控制在正常范围内的妊娠期糖尿病孕妇作为研究组，选取未进行血糖控制或血糖控制不理想的75例孕妇作为对照组，同时选取健康孕妇75例，回顾性分析3组孕妇的临床资料，比较妊娠结局。结果研究组75例孕妇中，8例出现妊娠期高血压症、3例出现酮症、5例出现羊水过多、7例出现胎膜早破、3例出现产后出血、7例出现感染，并发症发生情况与健康组相比无显著差异，但明显低于对照组。结论妊娠期糖尿病可导致妊娠期高血压、羊水过多、胎儿窘迫、新生儿窒息等多种并发症，通过加强对妊娠期糖尿病血糖控制，可以明显降低母婴并发症的发生，对于改善妊娠结局具有重要意义。
Objective To investigate the impact of glycemic control on the pregnancy outcomes of patients with gestational diabetes. Methods Seventy-five pregnant women with gestational diabetes whose blood sugar was controlled in the normal range after receiving relevant treatment were selected as the study group; Seventy-five pregnant women who did not receive glycemic control or did not have ideal glycemic control were selected as the control group; Seventy-five healthy pregnant women were selected also. Clinical information of the 3 groups of pregnant women was analyzed retrospectively and their pregnancy outcomes were compared. Results Of the 75 pregnant women in the study group, 8 women had gestational hypertension, 3 women had ketosis, 5 patients had polyhydramnios, 7 patients had premature rupture of membrane, 3 patients had postpartum hemorrhage and 7 patients had infection. The occurrence of complications in the study group was not significantly different from that in the healthy group, but was significantly lower than that in the control group. Conclusion Gestational diabetes can lead to various complications such as gestational hypertension, polyhydramnios, fetal distress and neonatal asphyxia. Enhancing glycemic control of pregnant women with gestational diabetes can obviously reduce the occurrence of maternal and child complications and is of important significance to improving pregnancy outcomes.
出处
《中国医药科学》
2014年第15期168-170,共3页
China Medicine And Pharmacy
关键词
妊娠期糖尿病
血糖控制
妊娠结局
Gestational diabetes
Glycemic control
Pregnancy outcomes
