中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
12期
89-92,96
,共5页
妊娠糖尿病%血糖控制%妊娠结局
妊娠糖尿病%血糖控製%妊娠結跼
임신당뇨병%혈당공제%임신결국
Gestational diabetes mellitus%Glycemic control%Pregnancy outcomes
目的：探讨血糖控制对妊娠糖尿病患者妊娠结局的影响。方法选取2012年10月~2014年2月在解放军第四一一医院确诊为妊娠糖尿病的患者34例，对其积极采取心理护理、饮食管理、运动管理、胰岛素应用等综合治疗手段，以控制血糖。分娩前有26例患者糖化血红蛋白（HbA1c）水平≤6%，作为达标组，8例HbA1c>6%，作为未达标组。选取同期的正常妊娠孕妇77例，作为正常组。观察三组孕妇酮症酸中毒、妊娠高血压、胎膜早破、羊水过多、产后出血及剖宫产等的发生情况。结果未达标组孕妇酮症酸中毒、妊娠高血压、胎膜早破、羊水过多、产后出血及剖宫产发生率均高于达标组及正常组（P<0.05），未达标组新生儿的巨大儿、早产、高胆红素血症、新生儿窒息及新生儿低血糖发生率均高于达标组及正常组（P<0.05）。结论妊娠糖尿病血糖控制可明显降低母婴并发症的发生率，有效改善妊娠结局。
目的：探討血糖控製對妊娠糖尿病患者妊娠結跼的影響。方法選取2012年10月~2014年2月在解放軍第四一一醫院確診為妊娠糖尿病的患者34例，對其積極採取心理護理、飲食管理、運動管理、胰島素應用等綜閤治療手段，以控製血糖。分娩前有26例患者糖化血紅蛋白（HbA1c）水平≤6%，作為達標組，8例HbA1c>6%，作為未達標組。選取同期的正常妊娠孕婦77例，作為正常組。觀察三組孕婦酮癥痠中毒、妊娠高血壓、胎膜早破、羊水過多、產後齣血及剖宮產等的髮生情況。結果未達標組孕婦酮癥痠中毒、妊娠高血壓、胎膜早破、羊水過多、產後齣血及剖宮產髮生率均高于達標組及正常組（P<0.05），未達標組新生兒的巨大兒、早產、高膽紅素血癥、新生兒窒息及新生兒低血糖髮生率均高于達標組及正常組（P<0.05）。結論妊娠糖尿病血糖控製可明顯降低母嬰併髮癥的髮生率，有效改善妊娠結跼。
목적：탐토혈당공제대임신당뇨병환자임신결국적영향。방법선취2012년10월~2014년2월재해방군제사일일의원학진위임신당뇨병적환자34례，대기적겁채취심리호리、음식관리、운동관리、이도소응용등종합치료수단，이공제혈당。분면전유26례환자당화혈홍단백（HbA1c）수평≤6%，작위체표조，8례HbA1c>6%，작위미체표조。선취동기적정상임신잉부77례，작위정상조。관찰삼조잉부동증산중독、임신고혈압、태막조파、양수과다、산후출혈급부궁산등적발생정황。결과미체표조잉부동증산중독、임신고혈압、태막조파、양수과다、산후출혈급부궁산발생솔균고우체표조급정상조（P<0.05），미체표조신생인적거대인、조산、고담홍소혈증、신생인질식급신생인저혈당발생솔균고우체표조급정상조（P<0.05）。결론임신당뇨병혈당공제가명현강저모영병발증적발생솔，유효개선임신결국。
Objective To investigate of glycemic control for pregnancy outcomes in patients with gestational diabetes mellitus. Methods Thirty four cases of patients diagnosed as gestational diabetes mellitus in the 411st Hospital of PLA from October 2012 to February 2014 were chosen, and they were given active comprehensive treatment of psychological care, diet management, sports management, insulin use and other means, so as to control blood sugar. Before delivery, 26 patients with glycosylated hemoglobin (HbA1c) levels≤6% were taken as standard group, 8 cases with HbA1c>6%were taken as substandard group. 77 cases of normal pregnant women at the same time were selected as normal group. The incidence of ketoacidosis, pregnancy-induced hypertension, premature rupture of membranes, polyhydramnios, postpartum hemorrhage, and cesarean section among the three groups were observed. Results The incidence of ketoaci-dosis, pregnancy-induced hypertension, premature rupture of membranes, polyhydramnios, postpartum hemorrhage, and cesarean section of substandard group were higher than those of standard group and normal group (P<0.05). The inci-dence of macrosomia, premature delivery, hyperbilirubinemia, neonatal asphyxia, neonatal hypoglycemia of substandard group were all higher than those of standard group and normal group (P< 0.05). Conclusion The glycemic control of gestational diabetes mellitus can significantly reduce the incidence of maternal complications, effectively improve preg-nancy outcomes.
