摘要
目的探讨妊娠期糖尿病患者在孕中期及孕晚期干预对母婴结局的影响。方法我院2009年3月～2012年3月126例妊娠期糖尿病(GDM)患者,确诊为妊娠期糖尿病时处于孕中期60例为A组,确诊为妊娠期糖尿病时处于孕晚期(32周后)66例为B组,两组患者均于确诊后给予及时干预治疗,比较两组患者的并发症发生情况、母婴结局及妊娠终止方式三个方面的干预效果。结果 A组患者并发症(妊娠期高血压疾病、羊水过多、产后感染及酮症酸中毒)发生率明显低于B组(P<0.05),A组患者中巨大儿(20.0%)、早产儿(16.7%)、胎儿宫内窘迫或新生儿窒息(16.7%)及围生儿死亡率(0.0%)明显低于B组,差异有统计学意义(P<0.05);A组患者剖宫率(53.3%)显著低于B组(78.8%),差异具有统计学意义(P<0.05)。结论妊娠期糖尿病孕中期干预对母婴结局的影响要优于孕晚期干预,孕妇应做好孕期检查,尽早筛查、确诊并及时治疗,可明显降低孕产妇并发症发生率及剖宫率,改善母婴结局。
Objective To study the influence of mid and late pregnancy intervention on maternal and neonatal out-comes of gestational diabetes mellitus. Methods All of 126 cases of gestational diabetes mellitus （GDM） patients ad- mitted in our hospital from March 2009 to March 2012 were selected for observation, 60 cases of them in the period of mid pregnancy were divided into group A, while other 66 cases in the period of late pregnancy （after 32 weeks） were divided into group B. Two groups of patients were given timely intervention,and compared the intervention effects of complications, maternal and neonatal outcomes,and method of pregnancy termination between the two groups. Results The complication incidence （gestational hypertension, polyhydramnios, postpartum infection and ketoacidosis） of group A were lower than that of group B （P 〈 0.05）, the incidence of macrosomia （20.0%）, premature infants （16.7%）, fetal distress or neonatal asphyxia （16.7%） and the perinatal death rate （0.0%） of group A were lower than that of group B （P 〈 0.05）, the cesarean delivery rates of group A （53.3%） was significantly lower than group B （78.8%）, the difference was statistically significant （P 〈 0.05）. Conclusion The mid pregnancy intervention on maternal and neonatal outcomes of GDM is superior to the late pregnancy intervention, pregnant women should do prenatal care seriously, screening and diagnosis as soon as possibly, and receive treatment timely,so as to reduce the complication incidence,cesarean de- livery rates,and improve maternal and neonatal outcomes.
出处
《中国现代医生》
2013年第20期151-152,155,共3页
China Modern Doctor
关键词
妊娠期糖尿病
孕期干预
母婴结局
Gestational diabetes mellitus
Prenatal intervention
Maternal and neonatal outcomes
