[摘要] 目的 观察不同麻醉下妊娠期糖尿病产妇围手术期血糖指标的变化情况。方法 选取2018年1月—2019年1月期间在该院接受诊疗的妊娠期糖尿病产妇90例，并按照不同麻醉方式进行分组，就对照组(实施全麻，n=45)与研究组(实施硬膜外麻醉，n=45)患者的血糖变化展开优劣对比。结果 麻醉后，研究组产妇在切皮时、胎儿出生时、胎儿娩出后5 min、2 h、6 h的血糖浓度的变化程度相比对照组明显较小(P<0.05)。结论 对妊娠期糖尿病产妇实施硬膜外麻醉，可有效控制其围手术期血糖，临床应用价值深远。

    [关键词] 麻醉;妊娠期产妇;糖尿病;围手术期：血糖

    [中图分类号] R614 [文献标识码] A [文章编号] 1672-4062(2019)08(a)-0042-02

    [Abstract] Objective To observe the changes of perioperative blood glucose index in pregnant women with gestational diabetes mellitus under different anesthesia. Methods Ninety cases of gestational diabetes mellitus who were treated in our hospital from January 2018 to January 2019 were selected and grouped according to different anesthesia methods. The control group (implemented general anesthesia ......