规范化治疗妊娠期糖尿病对妊娠结局的影响分析  

The Effect of Standardized Treatment of Gestational Diabetes on Pregnancy Outcome

作　　者：程倩[1] 

机构地区：[1]河北省保定市第一中心医院产科,河北保定071051

出　　处：《中国继续医学教育》2016年第9期86-87,共2页China Continuing Medical Education

摘　　要：目的研究规范化治疗妊娠期糖尿病对妊娠结局的影响。方法试验对象:我院近年来收治的84例妊娠期糖尿病产妇。产妇分组方法:随机数字表法。84例产妇分为组1和组2两个组别。组1行常规饮食干预;组2增加规范化治疗。观察指标:(1)母婴不良结局率;(2)治疗后产妇血糖水平的差异。结果 (1)组2相比于组1羊水过多、酮症酸中毒、生殖系统感染等产妇不良结局发生率更低,经χ2检验统计学差异有统计学意义,P<0.05;(2)组2相比于组1巨大儿、新生儿低血糖、窒息等围产儿不良结局发生率更低,经χ2检验差异有统计学意义,P<0.05;(3)治疗后组2相比于组1血糖水平更佳,经t检验差异有统计学意义,P<0.05。结论规范化治疗妊娠期糖尿病可有效控制血糖水平,减少母婴不良结局。Objective To study the effect of standardized treatment of gestational diabetes on pregnancy outcome. Methods 84 cases of gestational diabetes admitted in our hospital in recent years were taken as objects. 84 cases of puerpera were randomly divided into group 1 and group 2. Group 1 received regular diet intervention. Group 2 added to standardized treatment. Observation indexes：（1） The adverse outcome rate of maternal.（2） The differences in the levels of maternal blood sugar after treatment. Results（1） Compared to group 1, group 2 had lower incidence of adverse outcomes like hydramnios, ketoacidosis, reproductive system infection than group 1, there was statistically significant by χ2 test, P〈0.05.（2） Compared to group 1, group 2 had lower incidence of poor perinatal outcomes like macrosomia, neonatal hypoglycemia, asphyxia, there was statistically significant by χ2 test, P〈0.05.（3） After treatment, the blood glucose levels in group 2 was better than group 1, there was statistical significant difference by t test, P〈0.05. Conclusion The standardized treatment of gestational diabetes can effectively control blood glucose levels and reduce maternal aderse outcome.

关 键 词：规范化治疗 妊娠期糖尿病 妊娠结局 影响 

分 类 号：R714.2[医药卫生—妇产科学]