摘要
目的:探讨妊娠期糖尿病(GDM)产妇血糖控制情况对胎盘特征性参数及妊娠结局的影响。方法:将2005年10月-2019年10月笔者所在医院328例行产前检查并确诊的GDM产妇作为研究对象,将血糖水平控制良好的产妇作为观察组(160例),血糖控制不良的产妇作为对照组(168例)。观察两组产妇胎盘特征性参数及妊娠结局。结果:观察组不良妊娠结局(妊娠期高血压、产褥感染、羊水异常、胎膜早破、早产和产后出血)发生率低于对照组,差异有统计学意义(P<0.05), 观察组平均胎盘重量与平均胎盘周龄均优于对照组,差异有统计学意义(P<0.05), 观察组新生儿不良结局(胎儿宫内窘迫、新生儿高胆红素血症、新生儿窒息、巨大儿)发生率低于对照组,差异有统计学意义(P<0.05)。结论:GDM血糖水平控制不良可导致并发症的发生率升高,因此对GDM产妇根据其血糖水平变化及时采取有效的干预措施,可以有效地改善妊娠结局及胎盘特性参数,降低新生儿不良结局发生率,提高母婴产后生存质量。
Objective:To investigate the effect of blood glucose control on placental characteristic parameters and pregnancy outcomes in gestational diabetes mellitus(GDM).Method:A total of 328 GDM parturients who underwent prenatal examination and were diagnosed in our hospital from October 2005 to October 2019 were selected as the research subjects.The parturients with good blood glucose control were set as the observation group(160 cases),and the parturients with poor blood glucose control were set as the control group(168 cases).The placental characteristic parameters and pregnancy outcomes were observed in the two groups.Result:The incidence of adverse pregnancy outcomes(hypertension during pregnancy,puerperal infection,abnormal amniotic fluid,premature rupture of membranes,premature delivery and postpartum hemorrhage)in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The average placental weight and average placental week age in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse neonatal outcomes(fetal distress,neonatal hyperbilirubinemia,neonatal asphyxia,macrosomia)in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Poor control of GDM blood glucose level can lead to increased incidence of complications.Therefore,timely and effective intervention measures for GDM parturients according to their changes in blood glucose level can effectively improve pregnancy outcomes and placental characteristic parameters,reduce the incidence of neonatal adverse outcomes,and improve the postpartum quality of life of mothers and infants.
作者
李华强
LI Huaqiang(Linyi Luozhuang District Maternal and Child Health Care Hospital,Linyi 276017,China)
出处
《中外医学研究》
2021年第20期154-156,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
妊娠期糖尿病
空腹血糖
妊娠结局
胎盘征性参数
Gestational diabetes mellitus
Fasting blood glucose
Pregnancy outcomes
Placental characteristic parameters
