加强妊娠糖尿病管理对围产结局影响的相关研究  

The Prenatal Management of Gestational Diabetes Mellitus and Perinatal Outcome

作　　者：单瑞芹[1] 王冰[1] 赵丽[1] 方英姬 高亚莉[1] 宫露霞[1] 

机构地区：[1]山东省济南市妇幼保健院,250001

出　　处：《中国妇幼保健》2006年第3期316-318,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨加强妊娠期糖尿病筛查与管理对围产结局的影响。方法:选择已确诊的妊娠期糖尿病患者124例,按孕期未进行管理26例为病例组Ⅰ(入院及诊断较迟),已系统管理的98例为病例组Ⅱ,分析其临床资料进行统计学处理。结果:病例组Ⅰ围产病率明显高于病例组Ⅱ;妊高征(2χ=7.113 6,P=0.007 6)、酮症酸中毒(2χ=5.858 7,P=0.015 5)、巨大儿(2χ=4.172 3,P=0.041 1)、胎儿窘迫(2χ=8.212 6,P=0.004 2)、新生儿窒息(2χ=8.901 6,P=0.002 8)均有明显的差异。结论:妊娠期糖尿病严重危害着母儿健康,加强妊娠期糖尿病系统化管理能有效地降低围产病率。Objective： To explore the effect on intensive prenatal management of gestational diabetes mellitus and perinatal outcome. Methods： Divided 124 gestational diabetes mellitus （GDM） patients into 2 groups： group 1 （ n = 26） not treated properly because of diagnosed and admission late ; group 2 （ n = 98 ） managed ambulatorily. The perinatal outcome was analyzed. Results： There was significandy difference in perinatal morbidity between two groups. Patients had lower rates of pregnancy induced hypertension, ketosis, macrosomia, fetal distress, neonatal asphyxia in group 2 than in group L Conclusion ： Intensive management of GDM patients can reduce effectively perinatal morbidity for both mother and neonate.

关 键 词：妊娠 糖尿病 管理 围产结局 

分 类 号：R714[医药卫生—妇产科学] R587.1[医药卫生—临床医学]