妊娠期糖尿病产前治疗对妊娠结局的影响  

Impact of Prenatal Treatment of Gestational Diabetes on Pregnancy Outcome

作　　者：李纪[1] LI Ji(Department of Obstetrics and Gynecology,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou,Fujian Province,362000 China)

机构地区：[1]泉州市中医院妇产科,福建泉州362000

出　　处：《糖尿病新世界》2022年第21期40-43,共4页Diabetes New World Magazine

摘　　要：目的 研究妊娠期糖尿病不同产前治疗方法对妊娠结局的影响。方法 回顾性选取2019年2月—2022年2月泉州市中医院妇产科收治的280例妊娠期糖尿病产妇为研究对象。以不同产前治疗方法为标准,将其分为观察组(实施综合产前治疗措施,140例)和对照组(实施常规产前治疗措施,140例)。对两组产妇不良事件发生率、胎儿不良妊娠结局发生率、血糖指标水平进行比较。结果 对照组产妇不良事件发生率14.28%,胎儿不良妊娠结局发生率13.57%,FPG(7.59±1.17)mmol/L、2 hPG(10.16±1.68)mmol/L水平均高于观察组,差异有统计学意义(χ^(2)=5.035、4.038,t=14.786、14.578,P<0.05)。结论 妊娠期糖尿病产前治疗对妊娠结局具备积极影响,既能规避胎儿不良妊娠结局风险,又能促进产妇顺利分娩,抑制产后出血等情况的出现,并且采用包含饮食指导、运动疗法、控糖治疗的综合治疗措施的产前治疗方法效果更好。Objective To study the influence of different prenatal treatment methods on pregnancy outcome of diabetes during pregnancy.Methods 280 pregnant women with diabetes in pregnancy who were admitted to the Department of Obstetrics and Gynecology of Quanzhou Hospital of Traditional Chinese Medicine from February 2019 to February2022 were selected retrospectively as the research objects. According to different prenatal treatment methods, they were divided into observation group(140 cases were treated with comprehensive prenatal treatment) and control group(140 cases were treated with routine prenatal treatment). The incidence of adverse events, the incidence of adverse fetal pregnancy outcomes, and the level of blood glucose indicators in the two groups were compared.Results The incidence of adverse events was 14.28%, the incidence of adverse pregnancy outcomes in the fetus was 13.57%, and the levels of FPG(7.59±1.17) mmol/L and 2 hPG(10.16±1.68) mmol/L in the control group were higher than those in the observation group, and the difference was statistically significant(χ^(2)=5.035, 4.038, t=14.786, 14.578, P<0.05).Conclusion Prenatal treatment of gestational diabetes has a positive impact on the pregnancy outcome, which can not only avoid the risk of adverse pregnancy outcome of the fetus, but also promote the smooth delivery of pregnant women, inhibit the occurrence of postpartum hemorrhage and other situations. Prenatal treatment with comprehensive treatment measures including diet guidance, exercise therapy and sugar control treatment has a better effect.

关 键 词：妊娠期糖尿病 产前治疗 妊娠结局 

分 类 号：R59[医药卫生—内科学]