妊娠期糖尿病的诊治情况对母儿预后的影响  

The effect on the prognosis of mothers and infants with the diagnosis and treatment of GDM

作　　者：孙玉凤[1] 向茂[1] 杨兆静[2] 

机构地区：[1]北京大学首钢医院妇产科,100041 [2]中国航天海鹰中心医院

出　　处：《中国现代医药杂志》2005年第4期15-17,共3页Modern Medicine Journal of China

摘　　要：目的探讨妊娠期糖尿病(gestational diabetes mellitus,GDM)的诊治情况对母儿预后的影响。方法根据控制血糖情况将98例妊娠期糖尿病患者分为单纯饮食控制血糖正常者Ⅰ组(52例)和饮食控制加胰岛素调整血糖者Ⅱ组(46例),并与同期住院分娩的无内科合并症的糖代谢正常52例患者进行对照。结果两组在早产、妊高征、胎儿窘迫、胎膜早破、产后出血方面的发病率以及新生儿病率及围产儿死亡方面与正常对照相比均无显著性差异(P>0.05),而Ⅱ组中剖宫产率、巨大儿的发生率及新生儿出生体重,高于对照组(P<0.05),3组均无NRDS发生。结论妊娠期糖尿病孕妇经孕期严格控制血糖和产科管理,母儿预后得到极大改善,但在饮食加胰岛素控制血糖组巨大儿的发生率及新生儿出生体重仍高于正常人群。Objective To study the effect on the maternal and fetal prognosis with GDM which was diagnosed and treated. Methods 98 cases of GDM were devided into two groups according to the ways of controlling the serum glucose lever. 52 cases in group Ⅰ were treated with dietary only and 46 cases in group Ⅱ were treated with insulin combined dietary. The control group was 52 pregnant women with normal glucose tolerance and without medical complications. Results In comparision between the two groups of GDM and control group ,there was no significant difference in the incidence of preterm delivery, pregnancy induced hypertension, fetal distress, premature rupture of membranes, postpartum hemorrhage and morbidity of neonate, perinatal mortality （P〉0.05）. The rate of caeserean section , macrosmia and the weight of newborn in group Ⅱ were higher than the control group （P〈0.05）, There is no NRDS in three groups. Conclusion Through the strick glycemic control and obstertric care before having child, the maternal and fetal outcome is improved apparently ,But the rate of macrosomia and the weight of newborn in group Ⅱ are still higher than those in the control group.

关 键 词：妊娠期糖尿病 母儿预后 血糖水平 妊娠期糖尿病 母儿预后 诊治 新生儿出生体重 控制血糖 糖尿病患者 饮食控制 糖代谢正常 内科合并症 

分 类 号：R714.25[医药卫生—妇产科学]