摘要
目的 探讨妊娠期糖尿病 (GDM)治疗及分娩时机、方式的选择。方法 对 40例GDM患者进行前瞻性研究 ,运用统计学方法分析其临床资料。结果 胰岛素治疗辅以饮食疗法与单纯饮食疗法比较 ,对新生儿窒息的影响有显著性差异 (P <0 0 5 )。促胎儿成熟治疗组与对照组比较 ,新生儿病率明显下降 ,但缺乏统计学意义 (P >0 0 5 )。胎龄 <3 7周及 >40周与胎龄 3 7～ 40周比较 ,新生儿病率明显升高 (P <0 0 1)。剖宫产较之阴道分娩 ,新生儿窒息率明显下降 (P <0 0 5 )。结论 经饮食疗法血糖控制不佳者加用胰岛素治疗是必要的。孕 3 6周始行促胎肺成熟治疗可降低新生儿病率。分娩时间以妊娠 3 7～ 40周为宜。剖宫产对母儿相对安全。
Objective To explore the treatment of gestational diabetes mellitus (GDM) and the selection of time and pattern for termination.Methods A prospective study on 40 cases of patients with GDM was carried out.The patients' clinical data were analyzed by statistical method.Results There was a significant difference in the neonatal suffocation between insulin treatment combined with diet limitation and diet limitation alone(P<0 05). Neonatal morbidity decreased in group of treatment for promoting fetal maturity, but without significant difference compared with control group (P>0 05). Compared with 37 to 40 gestational weeks, neonatal morbidity obviously increased in <37 and >40 gestational weeks (P<0 01). Compared with vaginal delivery, neonatal suffocation in group of caesarean birth significantly decreased (P<0 05).Conclusion Insulin treatment combined with diet limitation may be necessary to the patients with poor control of glucose level. Promoting fetal maturity at 36 to 38 weeks could reduce neonatal morbidity. The time for termination at 37 to 40 weeks may be suitable. Caesarean birth may be relatively safe for mothers and their neonates.
出处
《中国医师杂志》
CAS
2003年第10期1332-1334,共3页
Journal of Chinese Physician
关键词
妊娠期糖尿病
治疗
分娩时机
分娩方式
GDM
Treatment
Time of termination
Pattern of termination
