摘要
目的 :探讨妊娠期糖尿病 (gestationaldiabetesmellilus,GDM)的血糖控制状况与妊娠结局的关系。方法 :回顾性分析 331例经糖尿病筛查发现并确诊的GDM患者的临床资料 ,按治疗方式分为单纯饮食控制组 2 0 1例 (Ⅰ组 )、饮食控制加胰岛素治疗组 83例 (Ⅱ组 )、无系统治疗组 4 7例 (Ⅲ组 ) ,比较三组的妊娠结局 ,包括孕产妇并发症 (妊娠高血压综合征、羊水过多、产后大出血、产褥感染 )、剖宫产率、早产率、巨大胎儿发生率、围生儿死亡率及新生儿病率 (包括重度窒息、呼吸窘迫综合征、低血糖 )等。结果 :Ⅲ组的孕产妇并发症、剖宫产率、早产率、巨大胎儿的发生率、围生儿死亡率、新生儿病率均较Ⅰ组和Ⅱ组明显升高 ,而Ⅰ组和Ⅱ组间无明显差异。结论 :GDM孕妇经过合理治疗 ,有效控制血糖 ,能明显改善妊娠结局。
Objective:To st udy the effect of serum glucose level in pre gnanct patient wit h Gestational Diabetes Mellitus on the preg nancy outcome.Methods:Three hundred and thi rty-one cases of GD M were divided to three groups.Two hundred and one cases in Group Ⅰ treated wi th dietary only,and 83cases in Group Ⅱ trea ted with insulin therapy combined w ith dietary,and 47cases in Group Ⅲ without any treatment.The pregnancy outcom es including the pregnancy complications ( Pregnancy induced hypertension,pol yhydramnios,Postpartum hemorrhage,and pue rperal infection),caesarean section, preterm delivery ,percentage of macrosomia ,perinatal mortality r ate and morbidily of neonates in three g roups were compared. Results:The pregnancy complic ations,caesarean s ection,preterm delivery, macrosomia,morbi dity of neonates and perinatal mort ality rate were significant higher in Group Ⅲ than that in Group Ⅰ or Gr oup Ⅱ,but no significant difference was fou nd between Group Ⅰ and Group Ⅱ.Conclusions:Reasonable treat m ent of GDM can improve the pregnancy outcom e.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2004年第5期283-285,共3页
Journal of Practical Obstetrics and Gynecology
