規范化治療對妊娠糖尿病妊娠結局的影響分析

[摘要] 目的 分析探討規范化治療對妊娠糖尿病妊娠結局的影響。方法 將2019年2—6月在該院接受醫治的妊娠糖尿病患者一共114例，進一步以隨機數字分組法分成2個不同的組別，每組平均為57例;其中，對照組實行常規治療，觀察組實行規范化治療，對比兩組患者的妊娠結局及血糖指標。結果 觀察組羊水過多、胎膜早破、產后出血、妊高癥及早產發生率均明顯低于對照組，兩組差異有統計學意義（P<0.05）。治療后，觀察組空腹血糖、餐后2 h血糖水平和對照組比較均顯著更低（P<0.05）。結論 在臨床中，針對妊娠糖尿病患者采取規范化治療方法具備顯著的療效;因此，值得在臨床治療領域中使用及推廣。

[關鍵詞] 規范化治療;妊娠糖尿病;妊娠結局

[中圖分類號] R714? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）02（a）-0038-02

Analysis of the Impact of Standardized Treatment on Pregnancy Outcome of Gestational Diabetes

WU Cheng-hua

People's Hospital of Feixian， Linyi， Shandong Province， 273400 China

[Abstract] Objective To analyze the impact of standardized treatment on pregnancy outcomes of gestational diabetes. Methods A total of 114 patients with gestational diabetes who were treated in the hospital from February to June 2019 were further divided into two different groups by random number grouping， with an average of 57 in each group; in the conventional treatment， the observation group performed standardized treatment， and the pregnancy outcome and blood glucose index of the two groups were compared. Results The incidences of polyhydramnios， premature rupture of membranes， postpartum hemorrhage， pregnancy-induced hypertension and preterm birth in the observation group were significantly lower than those in the control group. The difference of the two groups had statistical significance（P<0.05）. After treatment， the fasting blood glucose and 2 h postprandial blood glucose levels in the observation group were significantly lower than those in the control group（P<0.05）. Conclusion In the clinic， the standardized treatment method for gestational diabetes patients has significant effects; therefore， it is worthy of use and promotion in the field of clinical treatment.

[Key words] Standardized treatment; Gestational diabetes; Pregnancy outcome

妊娠期糖尿病（英文簡稱GDM）是妊娠期間首次發生的糖尿病，往往被視為糖尿病最為獨立的類型之一，屬于臨床最為常見的妊娠期并發癥，但是其臨床過程相對復雜多變可能引發多種母嬰并發癥，造成新生兒窒息、巨大兒、胎兒窘迫、胎兒畸形、子宮收縮乏力及妊娠高血壓等，嚴重影響產婦及產兒生命健康安全[1-2]。同時，受人均生活水平、生活方式及飲食習慣發生翻天覆地變化的影響，肥胖人群數量持續增多，再者生活節奏快且就業壓力過大，促使妊娠期糖尿病發生率呈逐年遞增趨勢。鑒于此，該課題以該院于2019年2—6月收治的妊娠糖尿病患者為研究對象，主要對規范化治療方法在其中的應用效果進行分析探討，報道如下。

1? 資料與方法

1.1? 一般資料

將在該院接受醫治的妊娠糖尿病患者一共114例，進一步以隨機數字分組法分成2個不同的組別，每組平均為57例;對照組患者的年齡分布在22～38歲，平均年齡為（29.37±5.19）歲。……