妊娠期糖尿病产前治疗与妊娠结局的关系  

Correlation between antenatal treatment of gestational mellitus and pregnant outcomes

作　　者：王其美[1] 王勇[1] 唐萍[1] 杨坤[1] 姜晶[1] 

机构地区：[1]山东省聊城市第二人民医院产科,252600

出　　处：《中国医药》2011年第3期344-345,共2页China Medicine

摘　　要：目的 探讨妊娠期糖尿病的产前治疗,并分析与妊娠结局的关系.方法 比较我院50例经收入院治疗的妊娠期糖尿病孕妇和同期因各种原因未得以收入院治疗的妊娠期糖尿病孕妇的临床资料.分析围生儿的并发症的发生及孕妇的分娩方式与对照组比较,并进行统计学分析.结果 治疗组新生儿并发症（窒息、低血糖、围生儿死亡、巨大儿）发生率与对照组比较[分别为10%（5/50）及66%（33/50）],差异有统计学意义（P＜0.05）.治疗组孕妇有24例顺产,26例剖宫产,对照组有10例顺产,40例剖宫产.2组分娩方式差异有统计学意义（x2=8.734,P=0.003）.结论 妊娠期糖尿病应早期诊断和治疗,使血糖维持在正常水平是妊娠期糖尿病治疗的关键,可以减少母婴并发症的发生.Objective To study the correlation between antenatal treatment of gestational diabetes mellitus （GDM） and the related pregnant outcomes. Methods The clinical data of 50 GDM pregnant women treated in our hospital and 50 GDM pregnant women without hospitalized interference treatment were compared： infant complications and the way of parturition were analyzed. Results Infant asphyxia, low blood sugar, perinatal deaths, fetal macrosomia, and mode of delivery of the treatment group were significantly better than the control group （P 〈0.05）. Conclusions GDM should be early diagnosed and treated. Control of blood glucose level is the key in treatment of GDM, It may reduce complications of the mother and the infant.

关 键 词：糖尿病 妊娠 治疗 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]