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98例妊娠期糖尿病临床分析 被引量:5

Clinical analysis of 98 pregnant women with gestation diabetes mellitus
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摘要 目的:了解妊娠期糖尿病(GDM)产妇的血糖控制理想与否对母婴的影响。方法:将98例GDM产妇分为两组,A组68例为经产前筛查并确诊,血糖控制达理想者;B组30例为血糖控制不理想及未经治疗入院后才发现的,对比两组妊娠结局。结果:孕期血糖控制理想者,妊娠高血压、胎膜早破、羊水过多、剖宫产、早产、巨大儿、新生儿低血糖的发生率均低于血糖控制不理想者及未治疗者的发生率(P<0.05)。结论:GDM早期诊断,经有效治疗,可减少孕产妇和围产儿并发症,改善母婴结局。 Objective: To understand whether the control of glucose level can influence the pregnant women with gestation diabetes mellitus(GDM) and neonate.Methods: 98 pregnant women with gestation diabetes mellitus(GDM) were divided into two groups,68 persons in Group A were with GDM by antepartum screening diagnosis and their glucose level were satisfactorily controlled,while the other 30 persons in Group B received no treatment until being admitted into hospital and their glucose level failed to reach the satisfactory point.Then,the pregnant outcome and delivery situation were compared between the two groups.Results: There were statistics differences between the two groups,the occurrence of hypertensive disorders,premature rupture of membrane,polyhydramnios,cesarean section, premature delivery,fetal macrosomia and neonatal nypoglycemia in patients of Group A was remarkably lower than those in Group B(P〈0.05).Conclusions: The timely diagnosis and efficient treatment of GDM can reduce the incidence of complications of pregnant women with GDM and neonate.
作者 汤锦萍 付翔
出处 《华夏医学》 CAS 2010年第5期505-508,共4页 Acta Medicinae Sinica
关键词 妊娠 糖尿病 并发症 pregnancy diabetes complications
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