早期干预妊娠期糖尿病对新生儿并发症的影响研究  

Influence of Early Intervention on Neonatal Complications in Patients with GDM:Clinical Research

作　　者：惠薇[1] 

机构地区：[1]南方医科大学附属何贤纪念医院,广东广州511400

出　　处：《临床医学工程》2013年第3期312-313,共2页Clinical Medicine & Engineering

摘　　要：目的研究早期干预妊娠期糖尿病(GDM)对新生儿并发症的影响。方法将我院确诊的84例GDM患者分为干预组45例和对照组39例,干预组给予饮食控制、适当运动及必要情况下的皮下注射胰岛素干预治疗,力求控制血糖在正常范围。记录并比较两组患者及新生儿并发症发生情况。结果干预组患者妊娠期感染、羊水过多及子痫前期发生率均显著低于对照组(P<0.05);两组新生儿中,干预组新生儿巨大儿、低血糖、高胆红素血症、红细胞增多症、窒息及羊水污染发生率显著低于对照组(P<0.01)。结论早期干预妊娠期糖尿病可显著降低新生儿并发症发生率,临床上要加强孕妇保健,早期发现和诊断妊娠期糖尿病,以减少GDM对母婴的不良影响。Objective To research the influence of early intervention on neonatal complications in gestational diabetes mellitus （GDM） patients. Methods 84 GDM patients were divided into two groups. 45 cases in intervention group were given with alimentary control, adequate exercise and subcutaneous insulin intervention. Results The intervention group had significantly lower incidence of infection, polyhydramnios and preeclampsia than the control group （P〈0.05）; and the intervention group had significantly lower incidence of giant baby, hypoglycemia, hyperbilirubinemia, polycythemia, asphyxia and meconium than the control group （P 〈0.01）. Conclusions Early intervention of gestational diabetes mellitus can significantly reduce neonatal complication rate.

关 键 词：妊娠期糖尿病 新生儿 并发症 早期干预 

分 类 号：R714.25[医药卫生—妇产科学]