摘要
目的研究对妊娠期糖尿病患者采取产科治疗的效果。方法选取2019年4月—2021年8月该院治疗的106例妊娠期糖尿病(GDM)患者为研究对象,分为对照组(53例,常规治疗)和观察组(53例,产科治疗),回顾性分析两组治疗效果。结果观察组FPG(5.92±0.51)mmol/L,2 hPG(6.50±0.75)mmol/L,HbA1c(6.64±0.58)%,显著低于对照组,差异有统计学意义(t=5.964、5.338、5.246,P<0.05)。观察组妊娠期高血压2例(3.77%),胎膜早破3例(5.66%),羊水过少2例(3.77%),剖宫产10例(18.87%),产后出血2例(3.77%),肝内胆汁淤积症1例(1.89%),不良妊娠结局为37.74%较对照组明显减少,差异有统计学意义(χ^(2)=15.926,P<0.05)。观察组胎儿宫内窘迫4例(7.55%),高胆红素血症0例(0.00%),低血糖1例(1.89%),巨大儿1例(1.89%),早产儿3例(5.66%),低体重儿2例(3.77%),新生儿不良结局率20.75%较对照组显著减少,差异有统计学意义(χ^(2)=8.490,P<0.05)。观察组Apgar 1 min评分(9.78±0.14)分,孕妇体质量增量(13.18±1.35)kg,显著优于对照组,差异有统计学意义(t=3.516、3.824,P<0.05)。结论对妊娠期糖尿病患者采取产科治疗更有利于控制血糖指标稳定,改善妊娠结局和新生儿结局,有利于孕妇控制体质量,改善新生儿健康水平,具有较高应用价值。
Objective To study the effect of obstetric treatment for gestational diabetes mellitus patients.Methods A total of 106 patients with gestational diabetes mellitus(GDM)treated in the hospital from April 2019 to August 2021 were selected as the research object and divided into control group(53 cases,routine treatment)and observation group(53 cases,obstetric treatment),and the treatment effect of the two groups was retrospectively analyzed.Results FPG(5.92±0.51)mmol/L,2 hPBG(6.50±0.75)mmol/L,HbAlc(6.64±0.58)%in the observation group were significantly lower than those in the control group,the difference between the two groups was statistically significant(t=5.964,5.338,5.246,P<0.05).In the observation group,2 cases(3.77%)of gestational hypertension,3 cases(5.66%)of premature rupture of membranes,2 cases(3.77%)of oligohydramnios,10 cases of cesarean section(18.87%),and 2 cases(3.77%of postpartum hemorrhage),and 1 case(1.89%)of intrahepatic cholestasis.The rate of adverse pregnancy outcome was 37.74%,which was significantly lower than that of control group and the difference between the two groups was statistically significant(χ^(2)=15.926,P<0.05).In the observation group,there were 4 cases(7.55%)of fetal distress,0 cases(0.00%)of hyperbilirubinemia,1 case(1.89%)of hypoglycemia,1 case of macrosomia(1.89%),and 3 cases(5.66)%of premature infants,and 2 cases(3.77%)of low birth weight infants.The rate of neonatal adverse outcome was 20.75%,which was significantly lower than that of the control group and the difference between the two groups was statistically significant(χ^(2)=8.490,P<0.05).The Apgar 1 min score of the observation group was(9.78±0.14)points,and the weight gain of pregnant women was(13.18±1.35)kg,which was significantly better than that of the control group.There were statistically significant differences between the two groups(t=3.516,3.824,P<0.05).Conclusion Obstetric treatment for gestational diabetes mellitus patients is more conducive to controlling the stability of blood glucose indicators,improving pregnancy outcomes and neonatal outcomes.It is beneficial for pregnant women to control their weight and improve the health level of newborns,and has high application value.
作者
连淑华
李荣斌
林智化
LIAN Shuhua;LI Rongbin;LIN Zhihua(Department of Obstetrics and Gynecology,Xiamen Third Hospital,Xiamen,Fujian Province,361100 China;Department of Ultrasound,Xiamen Third Hospital,Xiamen,Fujian Province,361100 China;Department of Endocrinology,Xiamen Third Hospital,Xiamen,Fujian Province,361100 China)
出处
《糖尿病新世界》
2022年第12期51-55,共5页
Diabetes New World Magazine
关键词
妊娠期糖尿病
产科治疗
血糖指标
妊娠结局
新生儿结局
Gestational diabetes mellitus
Obstetric treatment
Blood glucose index
Pregnancy outcome
Neonatal outcome
