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目的研究妊娠期糖尿病微炎症状态对妊娠母婴结局的影响。方法选择48例确诊为妊娠期糖尿病合并炎症因子异常患者为观察组,同时选取36例妊娠期糖尿病无炎症因子异常患者为对照组。采用回顾性分析方法,对比两组孕妇一般情况、妊娠母婴结局进行比较。结果观察组患者高血压、胎膜早破、早产儿、胎儿宫内窘迫、巨大儿发生率、剖宫术率较对照组增加,差异有统计学意义(P<0.05)。结论尽早对产妇进行糖耐量筛查,及时干预,对于合并微炎症状态患者积极祛除危险因素,有利于改善母婴结局。
Objective To study the effect of gestational diabetes mellitus status on the outcome of pregnancy and infant. Methods Forty-eight patients diagnosed as gestational diabetes mellitus complicated with inflammatory cytokines were selected as the observation group. Thirty-six patients with abnormal gestational diabetes mellitus without inflammatory cytokines were selected as the control group. A retrospective analysis was used to compare the general situation of pregnant women in two groups and compare the outcomes of pregnant and infant pregnancies. Results The observation group patients with hypertension, premature rupture of membranes, premature children, fetal distress, macrosomia, cesarean section rate increased compared with the control group, the difference was statistically significant (P <0.05). Conclusion As soon as possible, the pregnant women undergo glucose tolerance screening and timely intervention, and actively eliminate the risk factors for patients with micro-inflammatory state, which is beneficial to improve maternal and infant outcomes.