探讨研究妊娠期糖尿病规范化治疗对妊娠结局的影响  

Exploration and Study on the Influence of Standardized Treatment of Gestational Diabetes on Pregnancy Outcome

作　　者：刘金艳[1] LIU Jinyan(Department of Obstetrics and Gynecology,People's Hospital of Sihong County,Sihong,Jiangsu Province,223900 China)

机构地区：[1]江苏省泗洪县人民医院妇产科,江苏泗洪223900

出　　处：《糖尿病新世界》2021年第15期46-48,72,共4页Diabetes New World Magazine

摘　　要：目的探究妊娠期糖尿病规范化治疗对妊娠结局的影响。方法选取2019年1月—2021年2月在该院产科门诊接受产检及降糖治疗的73例妊娠期糖尿病孕妇视为研究对象,以是否规范治疗分为两组。甲组行常规治疗,乙组在甲组基础上行规范化治疗,对比两组治疗前后血糖指标变化情况、孕妇结局与新生儿结局。结果乙组治疗后糖化血糖蛋白、餐后2 h血糖以及空腹血糖水平分别为(7.15±1.02)%、(7.15±1.03)mmol/L、(6.11±0.49)mmol/L,均低于甲组,差异有统计学意义(t=7.471、11.324、8.881,P<0.05);乙组不良妊娠结局发生率为8.11%,明显低于甲组,差异有统计学意义(χ^(2)=5.932,P<0.05);乙组不良新生儿结局发生率为2.70%,明显低于甲组,差异有统计学意义(χ^(2)=4.104,P<0.05)。结论妊娠期糖尿病患者接受规范化治疗利于有效控制血糖水平,降低妊娠不良结局与新生儿不良结局发生率。Objective To explore the influence of standardized treatment of gestational diabetes on pregnancy outcome.Methods From January 2019 to February 2021,73 pregnant women with gestational diabetes who received obstetric checkups and hypoglycemic treatment in the hospital’s obstetric outpatient department were regarded as the research objects.They were divided into two groups according to whether the treatment was standardized.Group A received conventional treatment,and group B performed standardized treatment on the basis of group A.The changes in blood glucose index,the outcome of pregnant women and the outcome of newborns were compared between the two groups before and after treatment.Results The levels of glycosylated glucose protein,2 h postprandial blood glucose and fasting blood glucose after treatment in group B were(7.15±1.02)%,(7.15±1.03)mmol/L,and(6.11±0.49)mmol/L,respectively,which were lower than those of group A.The difference was statistically significant(t=7.471,11.324,8.881,P<0.05);the incidence of adverse pregnancy outcome in group B was 8.11%,which was significantly lower than that in group A,and the difference was statistically significant(χ^(2)=5.932,P<0.05).The incidence of adverse neonatal outcomes in group B was 2.70%,which was significantly lower than that in group A,and the difference was statistically significant(χ^(2)=4.104,P<0.05).Conclusion Standardized treatment for patients with gestational diabetes is beneficial to effectively control blood glucose levels and reduce the incidence of adverse pregnancy outcomes and adverse neonatal outcomes.

关 键 词：妊娠期糖尿病 规范化治疗 妊娠结局 新生儿结局 血糖指标 饮食指导 运动指导 

分 类 号：R587.1[医药卫生—内分泌]