摘要
目的:研究妊娠期糖尿病患者不同治疗时机对母婴预后的影响,为临床治疗提供参考和借鉴。方法:回顾性分析2013年8月至2014年8月来温州市人民医院就诊的276例妊娠期糖尿病患者,将在孕32周前确诊并予以治疗的患者设为A组,孕32周及以后确诊并予以治疗的患者设为B组,比较2组患者的妊娠结局。结果:A组患者并发症的发生率、A组围生儿的并发症发生率明显低于B组(P<0.05);A组新生儿的体质量和胎龄明显优于B组,差异均有统计学意义(P<0.05)。结论:妊娠期糖尿病患者的治疗时机关系着母婴的预后,32周之前发现并规范治疗能有效控制并降低母婴不良妊娠结局的发生。
Objective：To explore the effects on maternal and infant outcomes of different treatment opportunities of patients with gestational diabetes mellitus and provide references for clinical treatments.Methods：From August 2013 to August 2014,276 cases of patients with gestational diabetes mellitus in Wenzhou People＇s Hospital were analyzed retrospectively.Patients diagnosed and treated before 32 pregnancy weeks were set as group A,while the rest patients confirmed and treated at 32 pregnancy weeks and later were enrolled into group B.The patients＇ pregnancy outcomes were compared between two groups.Results：The occurrences of patients＇ and perinatals＇ complications in group A were much lower than group B（P〈0.05）; the neonatal body masses and gestational ages in group A were significantly better than those in group B,the differences are statistically significant（P〈0.05）.Conclusion：For patients with gestational diabetics mellitus,maternal and neonatal outcomes are related to the treatment opportunities,and detection before 32 pregnancy weeks and standardized treatment can effectively control and reduce the occurrences of adverse maternal and infant pregnancy outcomes.
出处
《温州医学院学报》
CAS
2015年第8期601-604,共4页
Journal of Wenzhou Medical College
关键词
糖尿病
妊娠
治疗时机
母婴结局
diabetes
pregnancy
treatment opportunity
maternal and neonatal outcomes
