摘要
目的分析妊娠期糖尿病与妊娠结局的关系。方法方便选取该院2015年7月—2017年3月妇产科收治的72例妊娠期糖尿病患者为研究对象,并将其分为观察组,另选取72名同期非妊娠期糖尿病正常孕妇为对照组。对观察组患者血糖进行控制、研究,至患者妊娠终止。对两组孕妇Hb A1c水平、不良妊娠结局进行观察、对比。结果对照组两次测量糖化血红蛋白水平结果均明显低于观察组,两组差异有统计学意义(P<0.05);两组第二次测量结果均低于第一次测量,差异有统计学意义(P<0.05);对照组出现巨大儿、早产、羊水过多概率明显低于观察组,两组差异有统计学意义(P<0.05);研究组患者中二次测量Hb A1c水平低于6.5%者出现巨大儿、早产、羊水过多概率明显低于超过6.5%者,差异有统计学意义(P<0.05)。结论临场评价妊娠期糖尿病患者重要指标包括糖化血红蛋白水平,因此应加强对糖化血红蛋白水平的检测工作,并对检测结果进行妊娠结局的判断,从而为母婴平安做好防御工作。
Objective This paper tries to analyze the relationship between gestational diabetes mellitus and pregnancy outcome. Methods 72 cases of gestational diabetes in the hospital from July 2015 to March 2017 in department of obstetrics and gynecology were conveniently selected as the observation group, and another 72 cases of non gestational diabetes and normal pregnant women were selected as the control group. The blood glucose of the observation group was controlled and studied until the termination of pregnancy. Hb A1 c levels and adverse pregnancy outcomes of the two groups were observed and compared. Results Twice measurements of glycated hemoglobin levels in the control group were significantly lower than those in the observation group, and there were statistically significant differences between the two groups(P<0.05); the second measurements of both groups were lower than their first measurements, with statistical significance(P<0.05); the incidence of macrosomia, premature delivery, polyhydramnios in the control group was significantly lower in the observation group, and the differences were statistically significant(P<0.05); in the study group, the twice measurement of Hb A1 c levels less than 6.5% was less likely to have macrosomia, premature delivery, polyhydramnios than whose probability of more than6.5%, with statistical significance(P<0.05). Conclusion The glycated hemoglobin level is an important index for clinical evaluation of patients with gestational diabetes mellitus, so the detection of glycated hemoglobin levels should be strengthened, and the test result can be judged for pregnancy outcome, so as to guarantee the safety of mother and infant.
出处
《中外医疗》
2017年第25期51-53,共3页
China & Foreign Medical Treatment
关键词
糖化血红蛋白水平
妊娠结局
妊娠期糖尿病
Glycosylated hemoglobin level
Pregnancy outcome
Gestational diabetes mellitus
