摘要
目的:探讨妊娠期糖尿病(GDM)的血糖控制情况对妊娠结局的影响。方法:对67例GDM患者(观察组)的临床资料进行回顾性分析,其中血糖控制满意A1型30例,血糖控制不满意A2型37例(其中包括发现较晚和不配合治疗患者),同时选取近GDM患者分娩后1～2天而分娩的糖代谢正常孕妇70例作为对照组进行临床研究,比较两组之间母儿并发症。结果:GDM孕妇妊娠期高血压疾病、巨大儿、早产、剖宫产率、胎儿窒息、新生儿低血糖及新生儿转诊率明显高于对照组孕妇,差异有统计学意义(P<0.05),而产后出血、围产儿死亡率、新生儿窒息的危险性虽然无统计学差异,但也较对照组升高。血糖控制不满意患者母儿并发症发生率高于血糖控制满意者。结论:重视孕期糖尿病的筛查,加强对GDM孕妇的管理和规范化治疗,以改善GDM孕妇的妊娠结局。
Objective：To study the influence of blood sugar control condition of gestational diabetes mellitus（GDM） on pregnancy outcome.Methods：The clinical data of 67 cases of GDM patients（observation group） were retrospectively analyzed,including 30 cases with blood sugar control satisfaction A1 type,and 37 cases of blood sugar control dissatisfaction A2 type（including patients with late discovery and patients who did not match with treatment）,while 70 normal pregnant women who delivered for just one to two days later than GDM patients and had normal delivery glucose metabolism were selected as a control group simultaneously for clinical study,and complications between mothers and infants of two groups were compared.Results：The pregnant period hypertensive disorders,macrosomic infants,premature birth,cesarean section rate,fetal asphyxia,neonatal hypoglycemia and neonatal transport rate macrosomic infants of GDM women were significantly higher than those in control group（P0.05）.Though no significant differences,postpartum hemorrhage,the death rate of perinatal fetus and neonatal asphyxia of GDM women were relative higher than those in the control group.The rate of maternal and neonatal complications of the women with blood sugar control dissatisfaction was higher than those with blood sugar control satisfaction.Conclusion：The screening and diagnosis of diabetes in pregnancy should be appreciated,while the management and standardized treatment should be strengthened to improve the end of pregnant outcome in GDM group.
出处
《中国妇幼保健》
CAS
北大核心
2011年第14期2110-2112,共3页
Maternal and Child Health Care of China
关键词
妊娠期糖尿病
妊娠结局
围产儿
Gestational diabetes
Pregnant outcome
Perinatal fetus
