妊娠期糖尿病孕妇不同血糖指标异常与妊娠结局分析
许丽
【期刊名称】《中国实用医刊》 【年(卷),期】2015(042)003
【摘要】目的 观察并研究妊娠期糖尿病(GDM)孕妇各项血糖指标异常对妊娠结局的影响.方法 选取400例产前检查并选择在院分娩的产妇为本次研究对象,通过75 g葡萄糖耐量实验检测方法将其均分为对照组和实验组,即正常血糖组(服糖后1/2 h、空腹血糖处于正常状态)和妊娠期糖尿病组(GDM),其中实验组(妊娠期糖尿病组)分为实验组A(仅空腹血糖异常)、实验组B(服糖后1/2 h、空腹血糖均表现异常)和实验组C(服糖后任意时间点和空腹血糖值均表现异常);同时根据葡萄糖耐量实验结果将实验组患者划分为GDM1(1项血糖指数异常)、GDM2(2项血糖指数异常)、GDM3(3项血糖指数异常),通过对照研究方法评估不同类型GDM产妇妊娠结局.结果 与对照组相比,实验组整体早产率、剖宫产率以及大于胎龄儿(LGA)发生率更高,组间差异显著(P＜0.05);实验组中,实验组B患者中LGA、巨大儿发生率超出对照组和实验组C,组间差异显著(P＜0.05);GDM1、GDM2、GDM3组剖宫产率、LGA和巨大儿发生率高于对照组,组间差异显著(P＜0.05).结论 在妊娠期糖尿病患者中,空腹血糖异常且伴有血糖指数不同时间点内异常(不低于1项)者明显出现妊娠结局不良的情况,临床应根据此种情况针对产妇实施密切观察和有效干预,以控制不良妊娠结局.此外,空腹血糖指数低于4.4 mmol/L的孕妇通常不会发生妊娠期糖尿病或出现不良妊娠结局,不建议临床采用葡萄糖耐量实验对此类孕妇进行检测.%Objective To observe and study the effect of glucose abnormalities on pregnancy
outcome in pregnant women with gestational diabetes(GDM).Methods Four hundred cases of prenatal care and childbirth were selected for the study object,through 75 g glucose tolerance test method to detect both into control group and experimental group,namely normal glucose group (oral glucose after 1/2 h,fasting blood glucose in a normal state) and gestational diabetes mellitus (GDM),the experimental group (gestational diabetes group) were divided into experimental group A (only fasting glucose),the experimental group B (after serving sugar 1/2 h,showed abnormal fasting glucose) and experimental group C (at any point intime,and fasting blood glucose levels after oralgl ucose showed abnormal) ;while glucose tolerance test results based on dividing the patients in the experimental group was GDM1 (1 abnormal glycemic index),GDM2 (2 abnormal glycemic index),GDM3 (3 abnormal glycemic index),to evaluate different types of GDM maternal pregnancy outcomes through control study.Results Compared with the control group,the overall rate of preterm birth,cesarean section rate and gestational age children (LGA) of the experimental group had higher incidence,there were significant differences (P ＜0.05) ; In experimental group:LGA and huge children rate of experimental group B were higher than the experimental group C (P ＜ 0.05) ; cesarean section rate,LGA and the huge incidence of child of GDM1,GDM2,GDM3 group were higher than the control group.Conclusions In patients with gestational
diabetes,impaired fasting glucose and glycemic index with abnormal (not less than 1) in the different time points were significantly adverse pregnancy outcomes circumstances arise,such cases should be based on the clinical implementation closely observed for maternal and effective interventions to control adverse pregnancy outcomes.In addition,fasting blood sugar level below 4.4 mmol/L does not usually occur in pregnant women with gestational diabetes or adverse pregnancy outcomes,and therefore is not recommended for clinical use of such a glucose tolerance test for pregnant women. 【总页数】3页(77-79)
【关键词】妊娠期糖尿病;妊娠结局;血糖指标;影响 【作者】许丽
【作者单位】462000 河南省漯河市第三人民医院保健科 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-practical-medicine_thesis/0201255165691.html 【相关文献】
1.妊娠期糖尿病孕妇不同血糖指标异常与妊娠结局的相关性分析 [J], 符小丽; 许丽俐
2.妊娠期糖尿病孕妇不同血糖指标异常与妊娠结局的关系分析 [J], 梁婉迪; 高冬
妊娠期糖尿病孕妇不同血糖指标异常与妊娠结局分析
