糖尿病合并妊娠83例母婴并发症分析  

Analysis of maternal and neonatal complications in 83 cases of pregnancy complicated by diabetes

作　　者：董玉英[1] 马晓玲[2] 李双弟[1] 夏瑾[1] 申玉红[1] 徐先明[1] 江明礼[1] 

机构地区：[1]上海交通大学附属第一人民医院妇产科,200080 [2]兰州医学院附属第二医院妇产科

出　　处：《上海医学》2006年第7期458-461,共4页Shanghai Medical Journal

摘　　要：目的探讨糖尿病合并妊娠者血糖控制与母婴并发症的关系及有效治疗措施。方法回顾性分析83例糖尿病合并妊娠患者的临床资料,根据血糖控制情况分两组比较母婴并发症。结果血糖控制不良组妊娠期高血压疾病的发生率为34．36%,酮症酸中毒(DKA)为21．86%,胎儿宫内窘迫为28．13%,胎膜早破为50．00%,其母婴并发症发生率明显高于血糖控制良好组(P＜0．05)。应用饮食疗法+人胰岛素治疗+运动锻炼+孕期管理及深入糖尿病知识教育的综合治疗方法能有效控制血糖、改善母婴妊娠结局。结论综合治疗积极控制血糖,对减少母婴并发症起关键性作用。Objective To appraise the relationship between blood glucose control during pregnancy with maternal and neonatal complications in diabetic patients. Methods The data of 83 cases of pregnant patients complicated with diabetes were analyzed retrospectively. According to the blood glucose control during pregnancy, these patients were divided into two groups： group A with well-controlled blood glucose level, and group B not so well-controlled. Maternal and neonatal complications were compared between the two groups. Results Maternal and neonatal complications in group B were significantly higher than those in group A（ P 〈 0.05 ）. Dietary control, insulin therapy, exercises and intensive diabetes knowledge education could effectively control the blood glucose level and improve the pregnantcy outcome. Conclusion Comprehensive therapy can effectively control the blood glucose level and reduce significantly the maternal and neonatal complications.

关 键 词：糖尿病 妊娠 血糖 母婴并发症 治疗 

分 类 号：R714.2[医药卫生—妇产科学] R714.7[医药卫生—临床医学]