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目的研究并分析控制血糖对改善妊娠期糖尿病孕妇妊娠结局的临床意义与价值。方法选取我院自2011年1月至2012年1月所收治的妊娠期糖尿病孕妇中的180例为研究对象。按照临床治疗效果血糖控制情况满意程度划分为血糖控制满意组(A组)与血糖控制不满意组(B组),A组90例,B组90例。选取同时期90例正常孕妇为对照组,分析A、B两组孕妇与对照组孕妇并发症及围生儿并发症发生情况,进行比较。结果 A组孕妇高血压疾病发生率明显高于对照组孕妇;B组孕妇高血压疾病发生率、羊水量、巨大儿、早产以及围生儿发窒息发生率均明显高于对照组孕妇。以上数据组间比较差异有统计学意义(P<0.05)。结论重视血糖影响,针对妊娠期糖尿病孕妇血糖指标予以可靠控制,能减少母婴并发症发生率,对改善妊娠结局有重要意义,值得临床关注。
Objective To study and analyze the clinical significance and value of controlling blood glucose in improving gestational diabetes outcome in pregnant women. Methods A total of 180 pregnant women with gestational diabetes who were admitted to our hospital from January 2011 to January 2012 were enrolled in this study. According to the clinical treatment effect of blood glucose control satisfaction satisfaction divided into satisfaction group (A group) and not satisfied with the control group (B group), A group of 90 cases, B group of 90 cases. Ninety pregnant women of the same period were selected as the control group, and the complications and complications of pregnant women in the two groups A and B were analyzed. Results The incidence of hypertension in pregnant women in group A was significantly higher than that in pregnant women in control group. The incidence of hypertension, amniotic fluid volume, macrosomia, preterm birth and perinatal asphyxia in group B were significantly higher than those in pregnant women in control group. The difference between the above data sets was statistically significant (P <0.05). Conclusions The importance of blood glucose, gestational diabetes mellitus for pregnant women, blood glucose control can be reliably controlled, can reduce the incidence of maternal and infant complications, improve pregnancy outcome is of great significance, deserves clinical attention.