摘要
目的探讨妊娠期糖尿病(GDM)规范化治疗对妊娠结局的影响。方法选择我院101例GDM孕妇,根据血糖控制情况分为血糖控制满意组(满意组78例)和血糖控制不满意组(不满意组,23例),与同期住院分娩的无内科合并症的糖代谢正常孕妇(正常对照组,80例)进行对比,分析在孕妇和围生儿并发症发生率方面有无差异。结果满意组孕妇妊娠期高血压疾病、羊水过多、早产、胎膜早破及产后出血发生率和围生儿巨大儿、胎儿窘迫、新生儿窒息及高胆红素血症发生率与正常对照组比较,差异均无统计学意义(P>0.05);不满意组的妊娠期高血压疾病、羊水过多、早产、胎膜早破、产后出血、巨大儿、胎儿窘迫、新生儿窒息及高胆红素血症发生率均高于满意组(P<0.05)。结论 GDM如能得到满意控制,孕妇和围生儿并发症发生率均可降低到糖代谢正常孕妇的水平,加强孕期管理,规范化治疗GDM,能有效控制血糖,降低母婴并发症的发生率。
Objective To study the effect of standardized treatment of gestational diabetes mellitus （GDM） on preg- nancy outcome. Methods Totally 101 pregnant women with GDM were divided into satisfactorily controlled group （satisfactory group, n = 78） and unsatisfactorily controlled group （unsatisfactory group, n = 23 ） according to the level of serum glucose. The maternal and perinatal complications were compared between subjects with normal tolerance and without medical complications （ control group, n = 80）. Results The maternal and perinatal complications were not significantly different between satisfactory group and control group （P 〉 0. 05）. The incidences of pregnancy - induced hypertension, polyhydramnios, preterm delivery, premature rupture of membranes, postpartum hemorrhage, fetal macrosmia, fetal distress, neonatal asphyxia, and hyperbiliru- binemia were significantly higher in the unsatisfactory group than in the satisfactory group （ P 〈 0. 05）. Conclusion Proper per- inatal management and standardized GDM treatment are important to control the level of serum glucose and decrease the maternal and perinatal complications.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第26期3009-3011,共3页
Chinese General Practice
关键词
糖尿病
妊娠
规范化治疗
妊娠结局
Diabetes, gestational
Standardized treatment
Pregnancy outcome
