[1]张　霞,朱宝菊.规范化管理对妊娠期糖尿病孕妇妊娠结局的影响[J].新乡医学院学报,2017,34(7):583-585.[doi:10.7683/xxyxyxb.2017.07.007]
　ZHANG Xia,ZHU Bao-ju.Impact of standardization management on pregnancy outcome of pregnant woman with gestational diabetes mellitus[J].Journal of Xinxiang Medical University,2017,34(7):583-585.[doi:10.7683/xxyxyxb.2017.07.007]
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规范化管理对妊娠期糖尿病孕妇妊娠结局的影响
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年7
页码:
583-585
栏目:
临床研究
出版日期:
2017-07-05

文章信息/Info

Title:
Impact of standardization management on pregnancy outcome of pregnant woman with gestational diabetes mellitus
作者:
张　霞; 朱宝菊
（郑州大学第二附属医院妇产科，河南　郑州　450014）
Author(s):
ZHANG Xia; ZHU Bao-ju
（Department of Gynaecology and Obstetrics，the Second Affiliated Hospital of Zhengzhou University，Zhengzhou 450014，Henan Province,China）
关键词:
妊娠期糖尿病; 规范化管理; 妊娠结局
Keywords:
gestational diabetes mellitus; standardization management; pregnancy outcome
分类号:
R587.1
DOI:
10.7683/xxyxyxb.2017.07.007
文献标志码:
A
摘要:
目的　探讨规范化管理对妊娠期糖尿病（GDM）孕妇妊娠结局的影响。方法　选取郑州大学第二附属医院2015年1月至2016年12月诊治的GDM孕妇120例，其中接受孕期规范化管理、血糖控制满意者78例（观察组），未接受孕期规范化管理、血糖控制不满意者42例（对照组），同期选择血糖正常的孕妇60例为正常组，对3组的妊娠结局进行比较分析。结果　对照组、观察组和正常组孕产妇妊娠期高血压疾病、羊水过多、感染、产后出血等围生期并发症发生率分别为73.81%（31/42）、14.10%（11/78）和11.67%（7/60），剖宫产率分别为80.95%（34/42）、53.85%（42/78）和46.67%（28/60），对照组孕产妇围生期并发症发生率、剖宫产率均显著高于观察组（χ2=42.780、8.638，P<0.05）和正常组（χ2=40.810、12.180，P<0.05）；观察组孕产妇围生期并发症发生率、剖宫产率与正常组比较差异无统计学意义（χ2=0.177、0.699，P>0.05）。对照组、观察组和正常组孕产妇围生儿中早产儿、巨大儿、胎儿生长受限、新生儿窒息、新生儿低血糖等围生儿并发症发生率分别为88.10%（37/42）、15.38%（12/78）和15.00%（9/60），对照组孕产妇围生儿并发症发生率显著高于观察组和正常组（χ2 =59.740、53.310，P<0.05）；观察组孕产妇围生儿并发症发生率与正常组比较差异无统计学意义（χ2=0.004，P>0.05）。结论　对GDM孕妇进行规范化管理将血糖控制在理想范围，可有效降低母婴并发症的发生，改善妊娠结局。
Abstract:
Objective　To investigate the impact of standardization management on pregnancy outcome of pregnant woman with gestational diabetes mellitus（GDM）.Methods　One hundred and twenty GDM patients in the Second Affiliated Hospital of Zhengzhou University from January 2015 to December 2016 were selected and divided into two groups.Seventy-eight patients in the observation group accepted the standardized management and they were satisfied with the effects of blood glucose control；the rest forty-two patients in the control group did not accept the standardized management and they were unsatisfied with the effects of blood glucose control；sixty pregnant woman with normal blood glucose were selected as the normal group.The pregnancy outcomes were compared among the three groups.Results　He incidence of maternal complications including hypertensive disorders complicating pregnancy，polyhydramnios，infection and postpartum hemorrhage in the control group，observation group and normal group was 73.81%（31/42），14.10%（11/78） and 11.67%（7/60） respectively；the rate of caesarean section in the control group，observation group and normal group was 80.95%（34/42），53.85%（42/78） and 46.67%（28/60） respectively.The rates of maternal complications and caesarean section in the control group were significantly higher than those in the observation group （χ2=42.780，8.638；P<0.05）and the normal group （χ2=40.810，12.180；P<0.05）.There was no statistical difference in the rates of maternal complications and caesarean section between the observation group and the normal group （χ2=0.177，0.699；P>0.05）.The incidence of preterm neonates，macrosomia，fetal growth restriction，newborn asphyxia and neonatal hypoglycemia in the control group，the observation group and the normal group was 88.10%（37/42），15.38%（12/78） and 15.00%（9/60） respectively.The incidence of neonatal complications in the control group was significantly higher than that in the observation group and the normal group （χ2=59.740，53.310；P<0.05）.There was no statistical difference in the incidence of neonatal complications between the observation group and the normal group （χ2=0.004，P>0.05）.Conclusion　Performance of standardized management in pregnant women with GDM and control the blood glucose in the ideal range can reduce the rates of complications of mother and infant and improve the outcome of pregnancy.

参考文献/References:

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更新日期/Last Update: 2017-07-05