妊娠期糖尿病孕妇补充维生素D的效果及对妊娠结局的影响探讨  

The Effect of Vitamin D Supplementation in Pregnant Women with Gestational Diabetes Mellitus and Its Influence on Pregnancy Outcome

作　　者：李伟玲 林婷婷 蔡丽坤[1] LI Wei-ling;LIN Ting-ting;CAI Li-kun(The First District of Midwifery,the Second Affiliated Hospital of Fujian Medical University,Quanzhou,Fujian Province,362000 China)

机构地区：[1]福建医科大学附属第二医院助产一区,福建泉州362000

出　　处：《糖尿病新世界》2020年第18期36-37,40,共3页Diabetes New World Magazine

基　　金：妊娠并发症与维生素D缺乏的相关性研究(2018Z121)。

摘　　要：目的研究妊娠期糖尿病孕妇补充维生素D的效果及对妊娠结局的影响。方法该次对纳入2018年5月—2019年4月收治的104例妊娠期糖尿病孕妇展开研究,按照随机数字表法分为两组,对照组52例进行常规产检管理,观察组52例加用维生素D。将两组的血糖水平、妊娠结局进行比对。结果观察组孕妇干预后的空腹血糖水平、餐后2 h血糖水平以及剖宫产率低于对照组,妊娠结局优于对照组,差异有统计学意义(P<0.05)。结论在常规产检管理的基础上为妊娠期糖尿病孕妇补充维生素D可促进其血糖水平的改善,降低剖宫产率,优化妊娠结局。Objective To study the effect of vitamin D supplementation in pregnant women with gestational diabetes and its influence on pregnancy outcome. Methods This study included 104 pregnant women with gestational diabetes who were admitted from May 2018 to April 2019. They were divided into two groups according to the random number table method.52 cases in the control group received routine check-up management, and 52 cases in the observation group received vitamin D. The blood glucose levels and pregnancy outcome of the two groups were compared. Results The fasting blood glucose level, the 2 h postprandial blood glucose level and the cesarean section rate of the pregnant women in the observation group after intervention were lower than those of the control group. The pregnancy outcome was better than that of the control group. The difference was statistically significant(P<0.05). Conclusion Supplementing vitamin D to pregnant women with gestational diabetes based on routine obstetrics management can improve their blood glucose levels, reduce the rate of cesarean section, and optimize pregnancy outcomes.

关 键 词：妊娠期糖尿病 维生素D 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]