妊娠期糖尿病规范化干预对妊娠与围生儿结局的影响  

Standardization of gestational diabetes diagnosis and treatment of the impact on pregnancy outcome

作　　者：沈爱红[1] 孙桂君[1] 杨永红[1] 赵磊[1] 冯秋花 宿敬存 

机构地区：[1]河北省冀中能源峰峰集团总医院妇产科,河北省邯郸市056200

出　　处：《中国综合临床》2015年第7期650-653,共4页Clinical Medicine of China

摘　　要：目的观察妊娠期糖尿病（GDM）的规范化治疗对妊娠与围生儿结局的影响。方法选取2010年1月至2012年10月收治的45例GDM血糖控制满意者（规范治疗组）和36例GDM血糖控制不满意者（未规范治疗组），并同时抽取同期住院的单胎血糖正常孕妇50例为正常对照组。对研究者的妊娠结局、围生儿结局进行比较分析。结果（1）3组产妇妊娠结局比较：未规范治疗组并发妊娠期高血压疾病（27．8％）、羊水过多（22．2％）、早产（16．7％）、剖宫产率（80．5％）及产褥病发生率（13．9％）高于规范治疗组[8．9％、6．7％、2．2％、55．6％、2．2％]与正常对照组[6．0％、4．0％、2．0％、46．0％、2．0％]，差异有统计学意义（P均〈0．05）。（2）3组产妇围生儿结局比较：未规范治疗组巨大儿（27．8％）、新生儿低血糖（41．7％）、新生儿窒息率发生率（22．2％）高于规范治疗组[4．4％、17．8％、6．7％]与正常对照组[6．0％、2．0％、4．0％]，差异有统计学意义（P均〈0．05）。结论GDM增加母婴并发症的发生，早期诊断，规范化干预能降低母婴并发症发生、改善妊娠结局。Objective To observe the effects of standardized treatment to pregnancy and perinatal outcome of children gestational diabetes（GDM）. Methods Forty-five cases of GDM glycemic control satisfied patients and 36 cases of GDM glycemic control dissatisfied patients were enrolled in this study who in the General Hospital of Jizhong Energy Feng Feng Group hospital from January 2010 to October 2012, and 50 cases of the same period of hospitalization single fetal blood sugar normal pregnant women were randomly selected as control group. Pregnancy outcome and perinatal outcome of three groups were analyzed and compared. Results （ 1 ） Pregnancy outcome of three groups ： the incidence of concurrent gestational hypertension （ 27. 8%）, polyhydramnios（ 22.2%）, premature delivery （ 16. 7%） , cesarean section rate （ 80. 5%） and puerperalism （13.9%） in GDM glycemic control dissatisfied patients were higher than those of GDM glycemic control satisfied patients （ 8. 9%, 6. 7%, 2. 2%, 55. 6%, 2. 2%） and control group （ 6. 0%, 4. 0%, 2. 0%, 46. 0%, 2.0% ）, and the differences were statistically significant （ P 〈 0. 05 ）. （2） Perinatal outcome of three groups ： the incidence of huge child （ 27.8% ）, neonatal hypoglycemia （ gl. 7% ）, neonatal asphyxia rate （ 22. 2% ） of GDM glycemic control dissatisfied patients were higher than those of GDM glycemic control satisfied patients （ 4.4%, 17.8%, 6. 7% ） and control group （ 6.0%, 2. 0%, 4. 0%） , and the differences were statistically significant （ P〈0. 05）. Conclusion Gestational diabetes increases the incidence of infant and maternal complications, early diagnosis, standardized diagnosis and treatment can reduce infant and maternal complications, improve pregnancy outcomes.

关 键 词：妊娠期糖尿病 规范化干预 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]