摘要
目的探究妊娠早期强化干预对妊娠期糖尿病患者妊娠结局的影响。方法将2018年1月—2021年1月该院收治的144例妊娠期糖尿病患者视为研究对象,以随机数字表法分为两组,甲组行常规干预,乙组在甲组基础上行妊娠早期强化干预,对比两组干预前效果。结果乙组干预后2 hPG、FPG水平分别为(9.15±1.13)mmol/L、(6.02±0.52)mmol/L,均低于甲组,分娩孕周为(39.96±1.19)周大于甲组,差异有统计学意义(t=12.473、12.636、9.838,P<0.05);乙组干预后转铁蛋白(TRF)、白蛋白(ALB)、总蛋白(TP)水平分别为(1.89±0.63)g/L、(37.85±3.96)g/L、(65.89±6.63)g/L,均高于甲组,差异有统计学意义(t=5.075、12.707、11.608,P<0.05);乙组产妇并发症发生率为6.94%,低于甲组的19.44%,差异有统计学意义(P<0.05),乙组胎儿与新生儿不良结局发生率为4.17%,低于甲组的18.06%,差异有统计学意义(χ^(2)=7.031,P<0.05)。结论妊娠早期强化干预利于改善妊娠期糖尿病患者妊娠结局。
Objective To explore the effect of intensive intervention in early pregnancy on pregnancy outcome in patients with gestational diabetes mellitus.Methods The 144 cases of gestational diabetes patients admitted to the hospital from January 2018 to January 2021 were regarded as the research objects,and they were divided into two groups by random number table.Group A underwent routine intervention,and group B performed intensive early pregnancy intervention on the basis of group A,and compared the effects of the two groups before intervention.Results After intervention,2 hPG and FPG levels in group B were(9.15±1.13)mmol/L and(6.02±0.52)mmol/L,respectively,lower than those in group A,and gestational age was(39.96±1.19)weeks,higher than that in group A,the difference was statistically significant(t=12.473,12.636,9.838,P<0.05).After intervention in group B,the levels of transferrin(TRF),albumin(ALB),and total protein(TP)were(1.89±0.63)g/L,(37.85±3.96)g/L,and(65.89±6.63)g/L,all higher than group A,the difference was statistically significant(t=5.075,12.707,11.608,P<0.05).The incidence of maternal complications in group B was 6.94%,lower than 19.44%in group A,the difference was statistically significant(P<0.05),and the incidence of adverse fetal and neonatal outcomes in group B was 4.17%,lower than 18.06%in group A,the difference was statistically significant(χ^(2)=7.031,P<0.05).Conclusion Intensive intervention in early pregnancy can improve pregnancy outcome of gestational diabetes mellitus patients.
作者
周超刚
陈静
ZHOU Chaogang;CHEN Jing(Department of Obstetrics and Gynecology,Xinyi people's Hospital,Xinyi,Jiangsu Province,221400 China)
出处
《世界复合医学》
2021年第10期139-142,共4页
World Journal of Complex Medicine
关键词
妊娠早期
强化干预
妊娠期糖尿病
妊娠结局
血糖水平
Early pregnancy
Strengthen intervention
Gestational diabetes mellitus
Pregnancy outcome
Blood glucose level
