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妊娠合并糖代谢异常孕妇血糖控制与围产结局的关系

孟淑丛1,韩玉环2   

  1. 1. 天津医科大学
    2. 天津医科大学第二医院产科
  • 收稿日期:2010-02-02 修回日期:2010-04-06 出版日期:2010-11-15 发布日期:2010-11-15
  • 通讯作者: 孟淑丛

Relationship between Blood Glucose Controlling in Pregnant Women with Abnormal Glucose Metabolism and the Outcomes of PregnantRelationship between Blood Glucose Controlling in Pregnant Women with Abnormal Glucose Metabolism and the Outcomes of Pregnant.Meng shucong1,Han yuhuan2,Tianjin Medical University

  • Received:2010-02-02 Revised:2010-04-06 Published:2010-11-15 Online:2010-11-15

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摘要： 摘要 目的：研究妊娠合并糖代谢异常孕妇血糖检测与控制对母婴结局的影响。方法：选择在我院分娩的妊娠合并糖代谢异常患者172例。经控制饮食或加胰岛素治疗后，按血糖控制是否满意分为血糖控制理想组(A组,91例)和血糖控制不理想组（B组,81例），比较2组孕妇的一般情况和母婴并发症发生情况。结果：A组孕妇妊娠期高血压疾病、胎儿窘迫、剖宫产、产后出血发生率明显B组，差异有统计学意义（P<0.05）。A组新生儿巨大儿、低血糖、窒息、肺炎发生率及转诊率低于B组新生儿,差异有统计学意义（P<0.05）。2组孕妇酮症、宫内感染、羊水过多发生率差异无统计学意义（P>0.05）。结论：糖代谢异常对母婴结局危害大，应重视孕期糖代谢异常的筛查、诊断与处理。积极控制孕妇血糖到理想状态是减少母婴并发症的关键。

关键词: 妊娠期糖尿病, 血糖, 围产结局

Abstract: Abstract Objective:To study the impact of glucose monitoring and controlling in women with abnormal glucose metabolism on maternal and neonatal outcomes.Methods:A retrospective study of maternal and neonatal outcomes was conducted in 172 pregnant women who were diagnosed and treated for abnormal glucose metabolism and delivered in the Second Hospital of Tianjin Medical University from January 2007 to January 2009. After diet control or diet control plus insulin therapy,172 patients were devided into two groups according wether blood glucose controlled satisfiied. While blood sugar was satisfied named A group(91 cases),the other patients named B group(81 cases). Compared the general situation and outcomes. Results:The incidence of HDCP，fetal distress, C-section and postpartum hemorrhage in group A was significantly higher than that in group B. The incidence of fetal macrosomia,hypoglycemia,neonatal asphyxia,transferring to NICU in group A was significantly lower than that in group B.No difference was shown between the two groups in the rate of ketonemia,intrauterine infection,polyhydroamnios deformity,NRDS.Conclusions: The glucose metabolism disorders is harmful for maternal and neonatal .The screening and diagnosis of glucose metabolism disorders during pregnancy should be strengthened. Controlling blood sugar in satisfied level is the key to decreasing maternal and neonatal complications.

Key words: gestational diabetes mellitus, glucose, prenatal outcome