高危妊娠期糖尿病孕妇的产前管理策略研究  

Study on prenatal management strategy of pregnant women with high risk gestational diabetes mellitus

作　　者：刘敏 Liu Min(Department of Obstetrics and Gynecology,The Second People's Hospital of Daye City,Huangshi 435100,China)

机构地区：[1]大冶市第二人民医院妇产科,湖北黄石435100

出　　处：《实用妇科内分泌电子杂志》2023年第31期85-87,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究不同产前管理策略对高危妊娠期糖尿病(GDM)孕妇的影响,重点关注孕期血糖控制、分娩方式、新生儿出生体重和新生儿低血糖发生率。方法选取60例高危GDM孕妇,根据随机数字表法分为试验组和对照组,每组30例。试验组采用改良产前管理策略方法,对照组采用传统的产前管理方法。比较两组孕期平均血糖水平、分娩方式、新生儿出生体重和新生儿低血糖发生率。结果试验组的孕期平均血糖水平(110.5±2.1)mg/dl显著低于对照组的(124.8±2.2)mg/dl,差异有统计学意义(P<0.05)。两组分娩方式比较差异无统计学意义(P>0.05)。试验组的新生儿出生体重显著低于对照组,差异有统计学意义(P<0.05)。试验组的新生儿低血糖发生率显著低于对照组,差异有统计学意义(P<0.05)。结论改良产前管理策略在孕期血糖控制、降低新生儿出生体重、降低新生儿低血糖发生率等方面具有显著优势,为GDM孕妇提供更好地临床管理。Objective To investigate the effects of different prenatal management strategies on pregnant women at high risk of gestational diabetes mellitus(GDM),focusing on blood glucose control during pregnancy,delivery mode,birth weight and incidence of neonatal hypoglycemia.Methods 60 pregnant women at high risk of GDM were selected and divided into test group and control group according to random number table method,with 30 cases in each group.The experimental group adopted the improved prenatal management strategy and the control group adopted the traditional prenatal management method.The average blood glucose level,delivery mode,neonatal birth weight and incidence of neonatal hypoglycemia were compared between the two groups.Results The average blood glucose level of experimental group during pregnancy(110.5±2.1)mg/dl was significantly lower than that of control group(124.8±2.2)mg/dl,the difference was statistically significant(P<0.05).There was no significant difference in delivery mode between the two groups(P>0.05).The birth weight of newborns in experimental group was significantly lower than that in control group,the difference was statistically significant(P<0.05).The incidence of neonatal hypoglycemia in experimental group was significantly lower than that in control group,with statistical significance(P<0.05).Conclusion The improved prenatal management strategy has significant advantages in blood sugar control during pregnancy,reducing the birth weight of newborns,and reducing the incidence of neonatal hypoglycemia,providing better clinical management for pregnant women with GDM.

关 键 词：高危妊娠期糖尿病 产前管理 血糖控制 

分 类 号：R714.256[医药卫生—妇产科学]