论文部分内容阅读
目的观察妊娠期糖尿病(GDM)孕妇的血糖水平对新生儿体质量的影响。方法 2005年1月至2010年12月180例GDM孕妇,按随机数字表分为血糖严格控制组(严格组)和血糖宽松控制组(宽松组),每组90例。选择同期血糖正常孕妇90例作为对照组。对新生儿体质量与孕妇血糖水平的关系进行分析。结果严格组孕妇的血糖水平为(5.2±1.2)mmol/L,宽松组为(6.1±1.5)mmol/L,严格组孕妇的血糖水平低于宽松组(P<0.05),且两组均高于对照组(P均<0.05)。严格组的新生儿体质量平均为(3 611±511)g,宽松组为(3 891±523)g,严格组孕妇的新生儿体质量低于宽松组,且两组均高于对照组(P均<0.05)。严格组有10例(11.1%)巨大儿,宽松组有23例(25.6%)巨大儿,严格组巨大儿发生率低于宽松组(P<0.05),且两组均高于对照组(P均<0.05)。结论 GDM孕妇的血糖水平越高,新生儿体质量越大,控制GDM孕妇血糖水平是降低巨大儿发生率的关键。
Objective To observe the influence of blood glucose level of pregnant women with gestational diabetes mellitus (GDM) on the newborn’s body weight. Methods One hundred and eighty pregnant women with GDM from January 2005 to December 2010 were divided into two groups according to the random number table: strict control group (glycemic control group) and glycemic control group (control group), 90 cases in each group. Select the same period 90 cases of normal pregnant women as a control group. The relationship between neonatal body weight and pregnant women’s blood glucose level was analyzed. Results The level of blood glucose in pregnant women was (5.2 ± 1.2) mmol / L in the severe group and (6.1 ± 1.5) mmol / L in the loose group, and was significantly lower in the severe group (P <0.05) In the control group (all P <0.05). The body weight of newborns in the strict group was (3 611 ± 511) g on average and (3 891 ± 523) g in the loose group, while the body weight of newborns in the strict group was lower than that of the relaxed group P <0.05). There were 10 cases (11.1%) in the severe group and 23 cases (25.6%) in the accommodative group. The incidence of macrosomia in the severe group was lower than that in the control group (P <0.05) All <0.05). Conclusion The higher the blood glucose level of GDM pregnant women, the higher the newborn’s body weight. The control of GDM blood glucose level is the key to reduce the incidence of macrosomia.