摘要
目的探讨早期干预对妊娠期糖尿病妊娠结局的影响。方法分析确诊为妊娠期糖尿病的98例患者的临床资料。根据血糖情况分为控制良好组58例(A组)和不佳组40例(B组),按妊娠期糖尿病诊断时间,以孕28周为界,又分为早期诊断组50例(早诊组)和晚期诊断组48例(晚诊组)。比较妊娠结局与早期诊断及干预的关系。结果 B组妊娠期高血压疾病、胎膜早破、羊水过多、新生儿窒息、早产发生率明显高于A组;晚诊组妊娠期高血压疾病、胎膜早破、羊水过多、巨大儿及早产发生率明显高于早诊组,相比差异均有统计学意义(P<0.05),而剖宫产率、胎儿窘迫、新生儿窒息的发生率相比差异无统计学意义(P>0.05)。结论早期发现及有效控制血糖在正常范围内可明显降低妊娠期糖尿病孕妇母婴并发症的发生率。故对早期诊断和治疗妊娠期糖尿病有重要的临床意义。
Objective To explore the effect of early intervention on the pregnancy outcome of gestational diabetes mellitus.Methods The clinical data of 98 patients with gestational diabetes mellitus were analyzed.According to the blood sugar,the patients were divided into good control group of 58 cases and poor control group of 40 cases of gestational diabetes.According to the time of diagnosis,with 28 weeks of gestation for the sector,the patients were divided into early diagnosis group and late diagnosis group.The relationship between comparative outcome of pregnancy and early diagnosis and intervention was analyzed.Results The blood glucose control membranes,poor pregnancy hypertension disease group,polyhydramnios,premature rupture of neonatal asphyxia and premature delivery rate of poor blood sugar control group were significantly higher than that of good blood sugar control group.Before 28 weeks of pregnancy hypertension disease diagnosis of fetal membranes,premature rupture of diabetic group during pregnancy,polyhydramnios,fetal macrosomia gestational diabetes group were significantly higher than that in diagnosis of early production after 28 weeks of gestation,compared the difference had statistical significance（P〈0.05）.The cesarean section rate,fetal distress,neonatal asphyxia rate of no significant difference（P〉0.05）,period of pregnancy in patients with diabetic complications of pregnancy were the main disease and hypertension of pregnancy,premature rupture of membranes,followed by polyhydramnios and premature birth.Conclusion early detection and prevention can effectively reduce the incidence of gestational diabetes mellitus pregnant maternal complications of pregnancy.Therefore,knowledge of gestational diabetes hazard in the majority of pregnant women,is of important significance for the early diagnosis and treatment of gestational diabetes mellitus.
出处
《西部医学》
2015年第7期1002-1004,共3页
Medical Journal of West China
基金
国家自然科学基金(201442137-18)
关键词
妊娠期糖尿病
妊娠结局
早期诊断
早期干预
Diabetes during pregnancy
Pregnancy outcome
Early diagnosis
Early intervention
