妊娠期糖尿病孕妇血糖控制情况对妊娠结局和新生儿并发症的临床分析

盖宁宁 赵鹏飞

[摘要] 目的 探讨妊娠期糖尿病孕妇血糖控制情况对妊娠结局和新生儿并发症的临床疗效。方法 采用医学研究对照法，方便遴选该院2012年12月—2017年2月收治的72例妊娠期糖尿病孕妇，依据护理干预模式的不同，平均分为对照组和观察组。给予对照组单独普通护理干预措施，给予观察组孕妇妊娠期血糖控制干预措施，临床观察两组患者的血糖控制达标率和妊娠结局。结果 观察组的顺产率82.86%（29/36）明显多于对照组60.00%（21/36），而新生儿情况中，胎儿宫内窘迫的发生率5.71%（2/36）明显低于对照组31.43%（11/36），两组数据对比差异有统计学意义（P<0.05）。结论 采用妊娠期糖尿病孕妇血糖控制干预措施，对提升整个医院的护理质量，实现对妊娠期糖尿病孕妇的血糖有效控制，降低了剖宫产率，避免婴儿并发症具有重要临床价值。

[关键词] 妊娠期糖尿病；孕妇；孕妇血糖控制；妊娠结局；新生儿并发症

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0077-03

Analysis Clinical Observation on Pregnancy Outcome and Neonatal Complications in Pregnant Women with Gestational Diabetes

GAI Ning-ning， ZHAO Peng-fei

Department of Endocrinology， Laiyang Central Hospital of Yantai， Laiyang， Shandong Province， 265200 China

[Abstract] Objective This paper tries to investigate the clinical effect of blood glucose control in pregnant women with gestational diabetes mellitus on pregnancy outcome and neonatal complications. Methods Using medical research control method， 72 pregnant women with gestational diabetes mellitus who were treated in this hospital from December 2012 to February 2017 were convenient selected. The pregnant women with gestational diabetes mellitus were equally divided into control group and observation group according to different nursing intervention patterns. The control group was given ordinary nursing interventions， giving observation group gestational glycemic control interventions， the clinical observation of two groups of patients with glycemic control compliance and pregnancy outcomes. Results In the observation group， the birth rate was 82.86% （29/36）， which was significantly higher than that in the control group （60.00%， 21/36）. In neonates， the incidence of fetal distress was 5.71% （2/36）， significantly lower than the control group of 31.43% （11/36） respectively. The difference between the two groups was statistically significant（P<0.05）. Conclusion The intervention of blood glucose control in pregnant women with gestational diabetes mellitus can improve the quality of care in the whole hospital and achieve effective control of blood glucose in pregnant women with gestational diabetes mellitus， reduce the rate of cesarean section and avoid the complicated clinical value of infant complications.

[Key words] Gestational diabetes mellitus； Pregnant women； Maternal blood glucose control； Pregnancy outcome； Neonatal complications

妊娠期糖尿病是妊娠期婦女首次发生或发现的任何程度的糖代谢异常病，对母婴健康极为不利。该疾病发病主要受孕妇不良饮食习惯影响，促使体内糖耐量水平下降，胰岛素水平失控，而产生产褥期感染和新生儿评分低等不良后果[1]。该疾病使得孕妇分娩困难并造成婴儿早产和死产，此外，还会导致婴儿产生糖尿病[2]。合理控制血糖作为一项有效方法，对确保母婴健康，顺利度过围产期，具有重要的临床控制价值，合理孕妇血糖控制情况，具有重要的临床干预价值[3]。该文为探讨妊娠期糖尿病孕妇血糖控制情况对妊娠结局和新生儿并发症的临床疗效，选定该院2012年12月—2017年2月收治的72例妊娠期糖尿病为对比观察对象，具体临床观察论证结果如下。……