妊娠合并糖尿病──妊娠期糖尿病519例临床分析  

Clinical analysis of 519 cases of gestational diabetes

作　　者：董玉英[1] 江明礼[1] 谢毅[1] 刘根喜[1] 屠霞芬[1] 杨懿霞[1] 

机构地区：[1]上海市第一人民医院,200080

出　　处：《中国实用妇科与产科杂志》2000年第11期658-660,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　评价饮食疗法及在饮食疗法基础上加用运动锻炼或胰岛素治疗对妊娠糖尿病的治疗效果。方法　对妊娠期血糖异常 5 19例分为A、B、C三组 ,观察每组治疗与未治疗者之间母儿并发症的发生情况。治疗方法为单项饮食管理或加用运动锻炼及胰岛素治疗。结果　饮食疗法总有效率为 92 97% ,A组为 98 2 6 % ;B组为 85 6 0 % ;C组为 6 8 2 3 %。在饮食疗法基础上运动锻炼有效率为 82 35 % ,胰岛素治疗有效率为 87 5 0 % ;治疗者母儿并发症较未治疗者明显减少 (P <0 0 5 )。结论　饮食疗法是治疗妊娠期糖尿病的主要方法 ,治疗效果不理想者可加用运动锻炼和 (或 )胰岛素治疗 ,治疗有效者其母儿并发症发生率明显下降。Objective To evaluate the efficacy of dietary control,and superimposed exercise and/or insulin in the treatment of gestational diabetes mellitus(GDM).Methods We retrospectively analysed 519 cases with abnormal blood glucose level in pregnancy.They were divided into A、B and C group.Maternal-fetal complications were observed among each group with or without treatment.The treatment regimen was dietary control alone,or with exercise and/or insulin based on dietary management.Results 92.97% of all the patients were assessed as effective in these three groups:98.26% in Group A,85.60% in Group B,and 68.23% in Group C.Physical exercise based on dietary control was effective in 82.35% ,while insulin 87.50%.The maternal-fetal complications were significantly decreased in the treatment group than those untreated in all three groups(P<0.05).Conclusion Dietary treatment is the mainstone of all treatment modalities in GDM.Physical exercise and/or insulin should be added in those with unsatisfactory control under dietary management.Maternal-fetal complications can be significantly decreased in well-controlled patients.

关 键 词：糖尿病 饮食疗法 运动锻炼 妊娠合并症 

分 类 号：R714.256[医药卫生—妇产科学] R587.205[医药卫生—临床医学]