早期干预对妊娠期糖尿病妊娠结局的影响  

Influence of early intervention on the pregnancy outcome of gestational diabetes mellitus

作　　者：刘淼[1] 王永红[1] 袁红华[1] 

机构地区：[1]湖南省郴州市第一人民医院产科,湖南郴州423000

出　　处：《中国医学工程》2014年第8期14-15,共2页China Medical Engineering

摘　　要：目的探讨早期干预对妊娠期糖尿病(GDM)患者妊娠结局的影响。方法随机抽取2010年1月-2011年12月在郴州市第一人民医院进行系统产前检查诊断为GDM的孕妇82例为研究组,予以施行个体化治疗方案早期干预,同时随机选择同期未在该院进行系统产前检查,入院时才确诊的GDM孕妇70例为对照组,比较两组的妊娠结局。结果通过在孕期对GDM孕妇采取早期干预,研究组的妊娠期高血压疾病、羊水过多、胎膜早破、产后出血、巨大胎儿、胎儿窘迫、新生儿窒息、新生儿低血糖的发生率明显低于对照组,两组孕妇妊娠结局比较差异有统计学意义(P<0.05)。结论对GDM孕妇实施早期干预,母儿结局可以得到明显改善。【Objective】To investigate the influence of gestational diabetes early interventionon the pregnancy outcome.【Methods】Select the 82 pregnant women who have systematic prenatal care and hospital delivery in our hospita l from January 2010 to December 2011 as the study group, the70 pregnant women in the same period who were lack of per-inatal care, diagnosed as gestational diabetes until admission as the control group.Patients in the study group were treated with individualized treatment. Discuss the pregnancy outcome. 【Results】The incidences of hypertensive disorders in pregnancy, polyhydramnios, premature rupture of membranes, postpartum hemorrhage,great children, fetal distress, asphyxia, neonatal hypoglycemia in the observation group were significantly lower than those in the control group.The difference of maternal and per inatal complications between the two groups were statistically significant（ P〈0. 05）. 【Conclusion】We should do early intervention for patients with GDM as soon as possible, in order to reduce the obstetric complications and improve mate- rnal prognosis.

关 键 词：妊娠期糖尿病 早期干预 妊娠结局 

分 类 号：R587.2[医药卫生—内分泌]