摘要
目的 探讨早期干预妊娠糖尿病（GDM）患者血糖对于新生儿并发症的影响.方法 选择2010年2月～2013年6月期间在妇产科分娩的85例GDM患者作为研究对象,其中干预组44例于孕后20～ 28周时确诊,并采取干预措施;对照组41例于产前确诊,未采取干预措施,比较两组患者所产新生儿并发症发生情况.结果 两组患者所生新生儿均无死亡病例,干预组低血糖、巨大儿、高胆红素血症、新生儿窒息、新生儿肺透明膜病发生率均低于对照组（P＜0.05或P＜0.01）.出生后7日,干预组患者所产新生儿各项评分和总评分均优于对照组（P＜0.01）.结论 GDM对新生儿危害较大,对GDM患者早期采取干预措施可有效降低新生儿并发症的发生和减少中枢神经系统的损害.
Objective To investigate the effect of early intervention on neonatal complications in gestational diabetes mellitus（GDM）. Methods 85 patients with GDM were selected as the research objects. 44 cases in the intervention group were confirmed at 20-28th week of gestation, and took intervention measures. 41 cases in the control group were confirmed in prenatal diagnosis, without intervention measures. The neonatal complications of patients were observed. Results There had no deaths of the newborns of two groups. The incidence of hypoglycemia, macrosomia, hyperbiliru- binemia, neonatal asphyxia and neonatal hyaline membrane disease of the intervention group were lower than those of the control group （P〈0.05, P〈0.01）. The scores and total scores of infants at 7th day of the intervention group were better than those of the control group （P〈0.01）. Conclusion GDM is more harmful to the newborns, early intervention on patients with GDM can effectively reduce the incidence of neonatal complications, and reduce the damage of central nervous system.
出处
《西部医学》
2015年第1期111-113,共3页
Medical Journal of West China
关键词
早期干预
妊娠糖尿病
新生儿
并发症
Early intervention
Gestational diabetes mellitus
Newborn
Complication
