摘要
目的：探讨妊娠晚期空腹血糖水平对胎心监护评分及妊娠结局的影响,为提高孕产妇的妊娠安全性提供参考。方法：选取笔者所在医院2011年5月-2013年5月收治的165例正常妊娠晚期孕妇,根据血糖水平分为A组（5～6 mmol/L）45例、B组（4～5 mmol/L）52例和C组（〈4 mmol/L）68例。比较三组空腹时及餐后1 h、4 h及5 h时NST评分变化情况,同时比较三组母婴结局情况。结果：A组的NST评分在不同血糖水平状态下变化无明显差异（P〉0.05）。B组、C组餐后1 h时NST评分较空腹时明显升高,餐后4 h降低较明显,至餐后5 h接近于空腹时（P〈0.05）。各组间NST评分比较,空腹时NST评分为A组〉B组〉C组（P〈0.05）;餐后1 h时,A组与B组无明显差异（P〉0.05）,C组明显低于A组和B组（P〈0.05）;餐后4 h及餐后5 h,A组〉B组〉C组（P〈0.05）。A组的剖宫产、低血糖、巨大儿发生率均明显低于B组,B组均明显低于C组（P〈0.05）;A组的妊高征、产后出血、胎儿宫内窘迫发生率与B组均无明显差异（P〉0.05）,但B组均明显低于C组（P〈0.05）。结论：对妊娠晚期低血糖的孕妇,应加强其血糖管理,维持空腹血糖处于正常水平,并密切监测胎儿心率的变化,以确保母婴安全。
Objective：To investigate the effect on fetal heart rate monitoring score and pregnancy outcome by fasting blood glucose levels in late pregnancy,in order to provide reference for improving maternal pregnancy safety.Method：165 normal late pregnant women in our hospital from May 2011 to May 2013 were selected,according to the blood glucose levels,they were divided into the group A（5-6 mmol/L） for 45 cases,the group B（4-5 mmol/L） for 52 cases and the group C（〈4 mmol/L） for 68 cases.The NST changes at an empty stomach and postprandial 1 hour,4 hours and 5 hours,the maternal and child outcome were compared among the three groups.Result：There were no statistically significant differences in NST scores at different blood glucose level state in the group A（P〉0.05）.The NST scores at postprandial 1 hour in group B,group C were significantly higher than those at an empty stomach,at postprandial 4 hours were greatly reduced,and postprandial 5 hours were close to those at an empty stomach（P〈0.05）.The NST score compared among three groups,the NST scores at an empty stomach in group A〉group B〉group C（P〈0.05）.At postprandial 1 hour,there was no significant difference between group A and group B（P〈0.05）,the NST score in group C was significantly lower than that in group A and group B（P〈0.05）,at postprandial 4 and 5 hours,the group A〉group B〉group C（P〈0.05）.The cesarean section,hypoglycemia,macrosomia incidence in group A were significantly lower than those in group B and group C,all of above incidence rates in group B were significantly lower than those in group C（P〈0.05）.There were no statistically significant differences in the pregnancy hypertension,postpartum hemorrhage,fetal distress between the group A and group B（P〉0.05）,but those in group B were significantly lower than those in group C（P〈0.05）.Conclusion：For pregnant women in late pregnancy hypoglycemia should strengthen its management of blood glucose,maintain fasting blood glucose at no
出处
《中外医学研究》
2015年第2期105-107,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
妊娠晚期
空腹血糖水平
胎心监护
妊娠结局
Late pregnancy
Fasting blood glucose level
Fetal heart rate monitoring
Pregnancy outcome
