不同干预方式对妊娠期糖尿病妊娠结局的影响分析

李晓红，陈友婷

（陕西省安康市妇幼保健院妇产科，陕西安康，725000）

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摘要：

目的 探讨不同干预方式对妊娠期糖尿病（GDM）妊娠结局的影响。方法 将我院90例健康孕妇（对照组）与165例妊娠期糖尿病孕妇，随机分成试验A 组（82例）和试验B组（83例）经不同干预后，观察对照组、试验A组与B组的分娩方式、围生儿结局和并发症发生情况。结果 对照组剖宫产率显著低于试验A组和试验B 组（P<0.05），另试验A组的剖宫产率要高于试验B组（P<0.05）。对照组与试验A、B两组比较，其围生儿不良结局和产妇并发症的发生比率均小于试验组（P<0.05），试验A 组围生儿巨大儿、低血糖发生率、产妇妊高症、羊水过多发生率均明显高于试验B 组（P<0.05）。结论 妊娠期糖尿病对产妇的妊娠结局、围生儿结局和产妇并发症的发生都有着不利影响，妊娠期间应定期检测血糖，及早诊断、发现妊娠期糖尿病，并对其采取切实可行的干预措施，确保母婴安全。

关键词：妊娠期糖尿病；妊娠结局；围生儿结局

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)05-0117-02

Effect analysis of different intervention methods on pregnancy outcome of gestational diabetes mellitus

LI Xiao-hong, CHEN You-ting

(Department of Obstetrics and Gynecology, Maternal and Child Care Service Hospital of Ankang City,Ankang 725000, China)

ABSTRACT: Objective To investigate the influence of different intervention methods on gestational diabetes mellitus(GDM) pregnancy outcome. Methods Ninety cases of healthy pregnant women were selected as the control group, 165 cases of diabetic pregnant women were selected and randomly divided into experimental group A (n=82) and experimental group B (n=83) according to different intervention methods. The mode of delivery, perinatal outcomes and complications of three groups were compared. Results The rate of cesarean section in the control group was significantly lower than that in the experimental group A and the experimental group B (P<0.05), and the rate of cesarean section in experimental group A was significantly higher than that in experimental group B (P<0.05). The incidence rate of poor perinatal outcomes and maternal complications of the control group were better than those of the experimental group A and experimental group B (P<0.05).The incidence rate of poor perinatal outcomes on fetal macrosomia, hypoglycemia and maternal complications on pregnancyinduced hypertension syndrome and polyhydramnios of the experimental group A were higher than those of the experimental group group B (P<0.05). Conclusion Gestational diabetes has adverse effects on pregnancy outcomes, perinatal outcomes and the incidence of maternal complications. It is necessary to take regular blood glucose during pregnancy, early diagnosis and detection of gestational diabetes mellitus. Taking feasible intervention measures can ensure the safety of the mother and child.

KEYWORDS: gestational diabetes; pregnancy outcome; perinatal outcome

参考文献：

[1] 李文蕾.产后随访干预对妊娠期糖尿病患者血糖控制及结局的影响[J].中国现代医生,2014,52(21):121-123.

[2] 刘芳.妊娠期糖尿病规范化治疗对妊娠结局的影响[J].中国现代医生,2014,52(19):155-156.

[3] 杨慧霞,董悦.加强妊娠合并糖尿病的临床研究[J].中华妇产科杂志,2003,38(3):129-131.

[4] 孙宗花.妊娠期糖尿病对妊娠结局的影响[J].中国妇幼保健,2008,23(23):3234.

[5] 李春明,张为远.孕前体质量指数与妊娠结局关系的评价[J].中华医学杂志,2014,94(1):36-38.

[6] 赫英东,李雨利,陈倩.双胎妊娠胎儿发育不均衡的妊娠结局[J].中华围产医学杂志,2014,2(1):78-81.

[7] 王文迪,杜鹃.妊娠期糖尿病孕妇脂蛋白相关磷脂酶A2活性的变化及临床意义[J].中国医科大学学报,2014,43(8):738-741.

[8] 张鑫越.妊娠期糖尿病治疗对妊娠结局的影响研究[J].实用糖尿病杂志,2015,11(4):15-16.

[9] 中华医学会妇产科学分会产科学组,中华医学会围产医学分会妊娠合并糖尿病协作组.妊娠合并糖尿病临床诊治指南[J].中华妇产科杂志,2014,49(8):561-569.