[1]王扬.糖化血红蛋白水平与妊娠期糖尿病孕妇生产结局的关系[J].中国计划生育和妇产科,2018,(１):37-39.
　WANG Yang.Relationship between HbA1c and pregnancy outcome in gestational diabetes mellitus[J].Chinese Journal of Family Planning & Gynecotokology,2018,(１):37-39.
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糖化血红蛋白水平与妊娠期糖尿病孕妇生产结局的关系
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年１期
页码:
37-39
栏目:
论著与临床
出版日期:
2018-01-25

文章信息/Info

Title:
Relationship between HbA1c and pregnancy outcome in gestational diabetes mellitus
作者:
王扬
四川省妇幼保健院产科
Author(s):
WANG Yang
Department of Obstetrics,Maternal and Child Health Hospital of Sichuan Province,Chengdu Sichuan 610045,P.R.China
关键词:
糖化血红蛋白; 妊娠期糖尿病; 生产结局
Keywords:
glycosylated hemoglobin;  gestational diabetes mellitus;  production outcome
分类号:
R 71425
摘要:
目的探讨糖化血红蛋白(glycosylated hemoglobin,HbAlc)水平与妊娠期糖尿病(gestational diabetes mellitus，GDM)孕妇生产结局的相关性。 方法将2015年3月至2016年3月于四川省妇幼保健院进行产前检查并分娩的174例GDM孕妇，按照HbAlc水平将其分为控制组62例、未控制组112例，选取同期HbAlc水平正常的孕妇60例作为对照组，对比分析3组产妇的生产结局。结果未控制组妊娠期高血压疾病、胎膜早破、羊水过多、剖宫产率、羊水粪染、早产、胎儿宫内窘迫、新生儿窒息和巨大儿发生的比例明显高于控制组和对照组，差异有统计学意义（P＜005），控制组和对照组比较差异无统计学意义（P＞005）。结论HbAlc水平对GDM孕妇的生产结局具有较好的预测作用，可将HbAlc水平作为孕妇血糖控制情况的重要监测指标。
Abstract:
ObjectiveTo investigate the correlation between the level of glycosylated hemoglobin(HbAlc) and the outcome of pregnant women with gestational diabetes mellitus(GDM). Methods174 cases diagnosed as GDM in Maternal and Child Health Hospital of Sichuan Province from March 2015 to March 2016 were divided into well-controlled group（62 cases）, non-controlled group （112 cases）. In addition, 60 women with normal HbAlc levels were selected as the control group, the production outcome of the 3 groups were analyzed. ResultsThe proportion of pregnancy induced hypertension, premature rupture of membranes, polyhydramnios, cesarean section rate, meconium stained, premature delivery, fetal distress, neonatal asphyxia and giant baby in non-controlled group were significantly higher than those of the well-controlled group and the control group, the differences were statistically significant(P<005).The differences between the well-controlled group and the control group were not statistical significant(P>005).ConclusionThe level of HbAlc has a good predictive effect on the production of GDM pregnant women, and it can be used as an important monitoring index of blood glucose control in pregnant women.

参考文献/References:

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更新日期/Last Update: 2018-01-25