摘要
目的探讨妊娠期糖尿病对母婴妊娠结局的影响及处理方法。方法回顾性分析2005年1月至2010年1月凭祥市人民医院妊娠分娩的妊娠期糖尿病患者共42例及42例正常孕妇的临床资料,对两组母体并发症、分娩方式、围生儿并发症进行比较。结果妊娠期糖尿病组妊娠高血压疾病16.66%、羊水过多26.19%、生殖道感染30.95%、产后出血量(227.89±46.34)mL、剖宫产54.76%;围生儿为巨大儿42.86%、早产40.77%、死亡9.51%均高多于较正常组的2.38%、4.76%、(168.67±34.34)mL、4.76%、35.71%、7.14%、9.51%、2.28%(P<0.05)。结论妊娠期糖尿病对母婴围生结局有不利影响,应加强孕期保健,规范治疗妊娠期糖尿病,密切监测,选择合适的终止妊娠时机与方式。
Objective To explore gestational diabetes mellitus（GDM） on the maternal outcome of pregnancy and the treatment method.Methods Retrospective analysis in January 2005-January 2010 pregnancy in the people＇s hospital of Pingxiang,deliveries were 42 cases of GDM patients and 42 normal pregnant women,clinical data,two groups of maternal complications,mode of delivery and perinatal complications were compared.Results Gestational diabetes group gestational hypertension 16.66%,polyhydramnios 26.19%,reproductive tract infection 30.95%,postpartum blood loss（227.89± 46.34）mL,cesarean section 54.76%;perinatal infants dead for huge 42.86%,premature birth 40.77%,die 9.51% are more than the normal group high of 2.38%,4.76%,（168.67±34.34）mL,4.76%,35.71%,7.14%,9.51%,2.28%（P0.05）.Conclusion GDM on perinatal outcome by maternal adverse effects,should enhance prenatal care,standard treatment of GDM,close monitoring,select the appropriate termination of pregnancy and methods.
出处
《中国医药指南》
2011年第29期32-33,共2页
Guide of China Medicine
关键词
妊娠期糖尿病
母婴并发症
影响
处理
Gestational diabetes
Maternal complications
Impact
Treatment
