妊娠期糖尿病规范化治疗对妊娠结局的影响分析  

Analysis of the effect of the standardized treatment in Gestational diabetes mellitus on pregnancy outcome

作　　者：陆丽芳[1,2] 张洪[1,2] 毛锦江[1,2] 林东源[1,2] 

机构地区：[1]广西壮族自治区贵港市人民医院内分泌科,537100 [2]广西壮族自治区贵港市人民医院妇产科,537100

出　　处：《实用糖尿病杂志》2016年第4期36-38,共3页Journal of Practical Diabetology

摘　　要：选取2014年1月～2015年12月在本院行妊娠期糖尿病筛查并住院分娩的100例妊娠期糖尿病患者，将诊断妊娠期糖尿病后未遵医嘱行血糖控制且血糖控制不理想的48例患者作为对照组，将诊断妊娠期糖尿病后遵医嘱进行规范化治疗且血糖控制良好的52例患者作为观察组，将两组患者妊娠期及分娩过程中出现的并发症、新生儿结局等进行对比分析。结果观察组患者妊娠期高血压疾病、胎膜早破、羊水过多及产后出血的发生率明显低于对照组，差异均有统计学意义P〈0．05。观察组巨大儿、胎儿窘迫、足月低体重儿、早产儿等发生率明显低于对照组，差异有统计学意义P〈0．05。结论妊娠期糖尿病对母婴危害大，应早期筛查和规范化治疗，提高母婴安全。Objective To explore the effect of the standardized treatment in Gestational diabetes mellitus on pregnancy outcome. Methods Selected 100 lying-in women diagnosed with gestational diabetes mellitus from Guigang City People, s hospi- tal, Guangxi Zhuang Autonomous Region from January 2014 to December 2015 as study objects. 48 patients of them who had poor glycemic Control were classified as control group. 52 patients who received the standardized treatment had good blood glucose control ,these 52 patients were classified as the observation group. Perinatal complications and pregnancy outcome in both groups was observed. Results The frequencies of hypertensive disorders in pregnancy, premature rupture of fetal membranes, hydram- nios and postpartum hemorrhage in the observation group were lower than those in the control group （ P 〈 0.05 ）. The frequencies of macrosomia, fetal distress,term-gestation low birth weight and premature in the observation group were lower than those in the control group （ P 〈 0. 05 ）. Conclusion Gestational diabetes mellitus is harmful to mother and infant. Early screening and stand- ardized treatment can ensure the safety of the mother and the infant.

关 键 词：妊娠期糖尿病 规范化治疗 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]