文档介绍：妊娠期糖尿病孕妇血糖、血脂水平及对妊娠结局的影响
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【摘要】 目的：探討妊娠期糖尿病孕妇血糖、血脂水平及对妊娠结局的影响。方法：选取2018年9月-2019年9月在本院就诊及分娩的妊娠期糖尿病患者30例作为研究组。选取同时期健康产妇30例作为对照组。收集所有孕产妇临床资料，比较对照组与研究组孕28周时血糖、血脂水平，比较两组母婴结局。结果：研究组孕28周时空腹血糖、餐后2 h血糖、TG、TC、LDL-C水平均高于对照组，HDL-C水平低于对照组（P<）;研究组胎膜早破、妊娠期高血压疾病及产后出血发生率均高于对照（P<）;研究组新生儿不良事件发生率高于对照组，且巨大儿和新生儿低血糖发生率均高于对照组，差异均有统计学意义（P<）。结论：妊娠期糖尿病孕妇整个妊娠过程中存在严重血糖、血脂代谢紊乱现象。与健康妊娠孕妇相比，妊娠期糖尿病孕妇血糖、血脂均明显偏高。因此，密切监测血糖、血脂等指标，可有效减少妊娠不良结局。
【关键词】 妊娠期糖尿病 脂代谢紊乱 糖代谢异常 新生儿低血糖 内分泌代谢障碍性疾病
Blood Glucose and Blood Lipid Levels of Pregnant Women with Gestational Diabetes Mellitus and Influence on Pregnancy Outcome/ZHOU Shumei， LI Yingdiao， LIN Jie. //Medical Innovation of China， 2020， 17（22）： 0-051
[Abstract] Objective： To explore the blood glucose and blood lipid levels of pregnant women with gestational diabetes mellitus and the influence on pregnancy outcome. Method： Thirty patients with gestational diabetes mellitus who visited and gave birth in our hospital from September 2018 to September 2019 were selected as the research group. Thirty healthy parturients during the same period were selected as the control group. The clinical data of all pregnant women were collected， the blood glucose and blood lipid levels of two groups at 28 weeks gestation were compared， the maternal and infant outcomes of two groups were compared. Result： The levels of fasting blood glucose， 2 h PG， TG， TC and LDL-C in the study group were higher than those in the control group at 28 weeks gestation， and the level of HDL-C was lower than that in the control group （P<）. The incidence of premature rupture of membranes， pregnancy-induced hypertension syndrome and postpartum hemorrhage in the study group were higher than those of the control group （P<）. The incidence of neonatal adverse events in the study group was higher than that in the contr