妊娠期糖尿病治疗时机与母婴预后的关系  

Relationship between treatment time and the outcome of mothers and infants in gestational diabetes mellitus

作　　者：李伟[1] 唐波[2] 刘华华[1] 

机构地区：[1]武警广东省总队医院内分泌科,广州510507 [2]广州医学院第二附属医院

出　　处：《中国综合临床》2010年第4期404-406,共3页Clinical Medicine of China

摘　　要：目的 探讨不同时机治疗妊娠期糖尿病对母婴预后的影响.方法 回顾性分析我院2006年1月至2009年1月住院分娩的86例妊娠期糖尿病患者的临床资料,其中48例在孕中期（34周前）确诊为妊娠期糖尿病并给予治疗（A组）,38例未行孕期保健或孕中期血糖筛查,于孕34周后住院确诊妊娠期糖尿病（B组）,比较2组的妊娠结局.结果 A组中妊娠期高血压疾病、羊水过多、产后感染、早产儿分别为10.42%（5/48）、12.50%（6/48）、8.33%（4/48）、6.25%（3/48）,均低于B组[分别为36.84%（14/38）、42.11%（16/38）、26.32%（10/38）、34.21%（13/38）,P均〈0.05].结论 妊娠期糖尿病对母婴危害大,及早诊断和治疗,可减少母婴并发症.Objective To investigate the impact of different treatment time in gestational diabetes mellitus （GDM） on maternal and neonatal outcome.Methods Data of 86 women with GDM from January,2006 to January,2009 were reviewed.Forty-eight GDM women were treated before 34 gestational weeks （group A） and 38 GDM women were treated after 34 gestational weeks （group B）.Results The incidence of hypertensive disorder complicating pregnancy,hydramnios,postnatal infection and premature were 10.42%（5/48）,12.50%（6/48）,8.33%（4/48） and 6.25%（3/48） respectively in group A,which were significantly lower than that in group B（36.84%（14/38）,42.11%（16/38）,26.32%（10/38）,and 34.21%（13/38）,respectively,P〈0.05）.Conclusions Gestational diabetes mellitus is harmful to mothers and infants.Early diagnosis and treatment can decrease the complications of mothers and infants.

关 键 词：妊娠期糖尿病 母婴预后 治疗时机 

分 类 号：R714.256[医药卫生—妇产科学]