首页|幽门螺杆菌感染对妊娠期糖尿病患者血糖、血脂的影响

幽门螺杆菌感染对妊娠期糖尿病患者血糖、血脂的影响

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目的 观察幽门螺杆菌感染对妊娠期糖尿病患者血糖、血脂的影响。方法 84 例妊娠期糖尿病患者,根据是否发生幽门螺杆菌感染分成对照组(未发生感染)和研究组(发生感染),每组42例。比较两组的血糖指标[空腹血糖、餐后 2 h血糖、糖化血红蛋白]、血脂指标[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)]、妊娠结局。结果 研究组空腹血糖、餐后 2 h血糖、糖化血红蛋白、TC、TG、LDL-C水平分别为(8。48±2。04)mmol/L、(10。68±2。27)mmol/L、(8。76±1。33)%、(6。71±1。32)mmol/L、(3。43±0。58)mmol/L、(3。53±0。53)mmol/L,均高于对照组的(7。28±1。18)mmol/L、(8。60±1。20)mmol/L、(7。35±0。96)%、(3。05±0。74)mmol/L、(2。27±0。31)mmol/L、(2。83±0。55)mmol/L,两组比较差异明显,具有统计学意义(P<0。05)。研究组剖宫产、先兆子痫、产后出血、新生儿呼吸窘迫综合征、巨大儿、低体重儿发生率分别为 52。38%、19。05%、21。43%、19。05%、19。05%、21。43%,均高于对照组的 30。95%、2。38%、4。76%、2。38%、2。38%、2。38%,两组比较差异明显,具有统计学意义(P<0。05)。结论 在妊娠期糖尿病患者中,感染幽门螺杆菌后对其血糖与血脂水平影响较大,且剖宫产率增加,先兆子痫、产后出血、新生儿呼吸窘迫综合征、巨大儿、低体重儿发生率亦显著升高。因此对于妊娠期糖尿病患者,应早期开展幽门螺杆菌筛查,明确其感染情况,以实施早期干预,进而改善妊娠结局。
Effect of Helicobacter pylori infection on blood glucose and lipids in women with gestational diabete
Objective To observe the effect of Helicobacter pylori infection on blood glucose and lipids in women with gestational diabete.Methods 84 cases of women with gestational diabetes were selected.According to whether there was Helicobacter pylori infection,they were divided into a control group(with infection)and a study group(without infection),with 42 cases in each group.The blood glucose indicators[fasting blood glucose,2 h postprandial blood glucose,glycated hemoglobin],blood lipid indicators[total cholesterol(TC),triglycerides(TG),low density lipoprotein cholesterol(LDL-C)]and pregnancy outcome were compared between the two groups.Results In the study group,the fasting blood glucose,2 h postprandial glucose,glycated hemoglobin,TC,TG and LDL-C were(8.48±2.04)mmol/L,(10.68±2.27)mmol/L,(8.76±1.33)%,(6.71±1.32)mmol/L,(3.43±0.58)mmol/L and(3.53±0.53)mmol/L,which were higher than(7.28±1.18)mmol/L,(8.60±1.20)mmol/L,(7.35±0.96)%,(3.05±0.74)mmol/L,(2.27±0.31)mmol/L and(2.83±0.55)mmol/L in the control group,and there were significant differences between the two groups(P<0.05).In the study group,the incidence of cesarean section,pre-eclampsia,postpartum hemorrhage,neonatal respiratory distress syndrome,macrosomia and low-birth-weight infants were 52.38%,19.05%,21.43%,19.05%,19.05%and 21.43%,which were higher than 30.95%,2.38%,4.76%,2.38%,2.38%and 2.38%in the control group,and there was significant difference between the two groups(P<0.05).Conclusion In patients with gestational diabetes,Helicobacter pylori infection has a greater impact on blood glucose and lipid levels,and increases the rate of cesarean section,as well as pre-eclampsia,postpartum hemorrhage,neonatal respiratory distress syndrome,macrosomia,and low-birth-weight infants.Therefore,for patients with gestational diabetes,early detection of Helicobacter pylori should be carried out to clarify their infection,so as to implement early intervention and improve pregnancy outcomes.

Helicobacter pyloriInfectionGestational diabetesBlood glucoseBlood lipid

苏加碧、李姝静、谢飞、丁文

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365001 三明市妇幼保健院体检科

幽门螺杆菌 感染 妊娠期糖尿病 血糖 血脂

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(22)