摘要
目的评价早期控制血糖对妊娠期糖尿病(gestational diabetes mellitus,GDM)患者的意义。方法选择GDM患者50例为观察组,进行早期血糖控制,选择同期正常孕妇50例为对照组,2组患者均自妊娠开始在本院定期进行产前检查、监测、治疗至分娩。结果观察组50例GDM患者经治疗后无孕产妇及围生儿死亡,无1例发生妊娠期高血压、酮症酸中毒、新生儿窒息、产褥感染、新生儿低血糖、新生儿畸形、呼吸窘迫综合征。观察组总剖宫产率52.00%与正常对照组剖宫产率42.00%比较,差异无统计学意义(P>0.05);羊水过多发生率6.00%与对照组正常发生率2.00%比较差异无统计学意义(P>0.05);巨大儿发生率12.00%与对照组正常发生率6.00%比较差异无统计学意义(P>0.05)。结论早期通过饮食管理合理地控制血糖对GDM患者具有积极意义,建议临床进一步推广。
Objective To assess the significance of the early control for blood glucose in patients with gestational diabetes mellitus （GDM）. Methods Fifty GDM patients as an observationgroup received early blood glucose control and 50 normal pregnant women selected as a control group. The pa- tients of two groups received regular prenatal care, monitoring, and treatment to delivery since the beginning of pregnancy. Results The observation group was cured without GDM maternal and perinatal child death, and no gestational hypertension, ketoacidosis, neonatal asphyxia, puerperal infection, neonatal hypoglycemia, neonatal malformations, and respiratory distress syndrome occured. The total rate for ce- sarean section, polyhydramnios incidence, and macrosomia incidence were 52.0% , 6.0% , and ＇12.0% in the observation group, respectively, and 42.0%, 2.0%, and 6.0% in the normal control group, no statistical significances were observed between the two groups （ P 〉 0.05 ）. Conclusion The early control of blood glucose in GDM patients has a positive significance and deserve＂ the clinical expansion.
出处
《河北医科大学学报》
CAS
2010年第6期634-635,共2页
Journal of Hebei Medical University
关键词
糖尿病
妊娠
妊娠并发症
剖宫产术
diabetes, gestational
pregnancy complications
cesarean section
