摘要
目的探讨妊娠期糖尿病(GDM)血糖控制情况与妊娠结局的关系。方法选取997例单胎分娩的GDM患者进行回顾性对照研究,根据血糖控制程度分为血糖控制良好组、血糖控制不良组进行分析。结果血糖控制良好组患者平均年龄、新生儿出生体质量显著低于血糖控制不良组(P<0.05),且妊娠期高血压疾病、剖宫产、巨大儿的发生率显著低于血糖控制不良组(P<0.05);2组患者在孕次、产次、产前体质量指数、产后出血、胰岛素使用、早产、低体质量儿、新生儿黄疸、新生儿窒息情况方面比较,差异均无统计学意义(P>0.05)。结论妊娠期糖尿病患者血糖控制良好有利于妊娠结局的改善。
Objective To investigate the relationship between glycemic control and pregnancy outcomes in gestational diabetes mellitus(GDM).Methods A retrospectively data analysis of 997 single-child delivery patients with GDM was performed.The patients were divided into good glycemic control group and poor glycemic control group according to degree of glycemic control.Results The mean age,the birth weight of newborns of good glycemic control group were significantly lower than that of poor glycemic control group(P<0.05),and the incidences of hypertensive disorder complicating pregnancy,cesarean section,and macrosomia were significantly lower than the poor glycemic control group(P<0.05).Pregnancy,parity,prenatal body mass index,postpartum hemorrhage,insulin use,preterm birth,low birth weight infants,neonatal jaundice,and neonatal asphyxia index showed no significant differences(P>0.05).Conclusion Good glycemic control in patients with gestational diabetes is beneficial to the improvement of pregnancy outcomes.
作者
李敏慧
胥红斌
LI Minhui;XU Hongbin(Department of Obstetrics,Second People′s Hospital of Changzhou in Jiangsu Province,Changzhou,Jiangsu,213000)
出处
《实用临床医药杂志》
CAS
2019年第3期106-108,共3页
Journal of Clinical Medicine in Practice
关键词
妊娠期糖尿病
血糖控制
妊娠结局
巨大儿
gestational diabetes
blood glucose control
pregnancy outcome
fetal macrosomia
