摘要
目的探讨血糖控制对妊娠期糖代谢异常孕妇围生期结局的影响。方法选取我院2016年1月至2018年1月门诊就诊的妊娠期糖代谢异常孕妇118例为研究对象,按照随机数表法将其分为观察组和对照组,每组59例。对照组未进行规范治疗,仅给予孕妇饮食指导、运动叮嘱及营养支持;观察组行糖代谢异常的规范治疗。比较两组的治疗效果。结果治疗后,两组FPG、2 h PG、HbA1c、S/D、RI、PI水平均降低,且观察组低于照组(P<0.05)。观察组产妇羊水过多、胎膜早破、产后感染的发生率、剖宫产率均低于对照组,妊娠周数长于对照组(P<0.05);观察组早产儿、巨大儿、新生儿低血糖发生率均低于对照组,新生儿Apgar评分高于对照组(P<0.05)。结论规范的血糖控制治疗可减少妊娠期糖代谢异常孕妇围生期母婴不良事件的发生,保证母婴健康安全。
Objective To explore the effect of blood sugar control on perinatal outcomes of pregnant women with abnormal glucose metabolism during pregnancy. Methods A total of 118 pregnant women with abnormal glucose metabolism during pregnancy treated in clinic of our hospital from January 2016 to January 2018 were selected as study objects. The pregnant women were divided into observation group and control group according to random number table method, with 59 cases in each group. The control group did not receive normalized treatment, only given pregnant women dietary guidance, exercise advice and nutritional support;while the observation group received normalized treatment of abnormal glucose metabolism. The therapeutic effects of the two groups were compared. Results After treatment, the levels of FPG, 2 h PG, HbA1c, S/D, RI and PI in both groups decreased, and those in the observation group were lower than the control group (P<0.05). The incidence rate of polyhydramnios, premature rupture of membranes, postpartum infection and cesarean section in the observation group were lower than those in the control group, and the gestational weeks was longer than that in the control group (P<0.05);the incidence rate of premature infants, macrosomia and newborns hypoglycemia in the observation group were lower than those in the control group, and the Apgar score of the newborn was higher than that in the control group (P<0.05). Conclusion Normalized blood sugar control treatment can reduce the incidence of perinatal adverse maternal and infant events of pregnant women with abnormal glucose metabolism during pregnancy and ensure the health and safety of mothers and infants.
作者
刘娜
惠彩玲
LIU Na;HUI Cai-ling(Xi'an Central Hospital,Xi'an 710082,China)
出处
《临床医学研究与实践》
2019年第31期138-140,共3页
Clinical Research and Practice
关键词
血糖控制
妊娠期糖代谢异常
围生期结局
母婴健康
blood sugar control
abnormal glucose metabolism during pregnancy
perinatal outcome
mothers and infants health
