妊娠期糖尿病孕期干预对围产儿结局的影响  

Effect of intervention during pregnancy on perinatal outcome in gestational diabetes mellitus

作　　者：崔雪芳[1] 黄蓉华[1] 吴起武[1] 

机构地区：[1]广东医学院附属陈星海医院妇产科,广东中山528415

出　　处：《海南医学》2013年第14期2139-2140,共2页Hainan Medical Journal

基　　金：中山市科技计划基金项目(编号:20091A105)

摘　　要：目的探讨妊娠期糖尿病(Gestational diabetes mellitus,GDM)孕期干预对围产儿结局的影响。方法回顾性分析155例GDM患者的临床资料,其中以行孕期干预治疗的80例为干预组,入院前未做相关检查、仅产时确诊为GDM的75例为对照组,比较两组围产儿结局的差异。结果干预组的胎儿窘迫、巨大儿、新生儿低血糖、新生儿高胆红素血症的发生率均低于对照组,差异有统计学意义(均P<0.05)。结论孕期干预治疗可明显改善妊娠期糖尿病患者的围产儿结局。Objective To investigate the effect of intervention during pregnancy on perinatal outcome in the gestational diabetes meUitus （GDM）. Methods The clinical data of 155 patients with GDM was retrospectively ana- lyzed. The patients were divided into two groups： the intervention group （n=80, treated by intervention during pregnan- cy） and the conlrol group （n=75, received no relevant checks before admission and were confirmed as GDM during la- bor）. The perinatal outcome of two groups were compared. Results In the intervention group, the incidence of fetal distress, macrosomia, neonatal hypoglycemia, neonatal hyperbilirubinemia, were lower than those in the control group, and the difference was statistically significant （P〈0.05）. Condusion Pregnancy intervention can significantly improve the perinatal outcome in GDM.

关 键 词：妊娠期糖尿病 孕期干预 围产儿 结局 

分 类 号：R714.256[医药卫生—妇产科学]