摘要
目的探讨对妊娠期糖尿病(Gestational Diabetes Mellitus,GDM)患者进行早期筛查并采取干预措施对母婴围产期所带来的影响。方法选取2014年1月—2015年6月期间前来该院就诊的孕妇70例作为研究对象。其中观察组35例孕妇在孕早期即接受系统性检查,被确诊为GDM后及时采取干预措施进行治疗,将另外35例孕妇设置为对照组,均为接受任何系统性的产前检查,直至孕晚期才被确诊为GDM,未给予任何治疗。比较两组产妇的妊娠结局。结果观察组孕妇妊娠结局(妊娠期高血压疾病4例,占11.43%;胎儿窘迫1例,占2.86%;羊水过多4例,占11.43%;产后出血2例,占5.71%)明显优于对照组妊娠结局(妊娠期高血压疾病11例,占31.43%;胎儿窘迫5例,占14.29%;羊水过多8例,占22.86%;产后出血7例,占20.00%),两组比较差异有统计学意义(P<0.05);新生儿并发症(早产2例,占5.71%;巨大儿3例,占8.57%;窒息2例,占5.71%;低血糖2例,占5.71%)的发生率也要明显低于对照组(早产7例,占20.00%;巨大儿8例,占22.86%;窒息6例,占17.14%;低血糖7例,占20.00%),两组比较差异有统计学意义(P<0.05)。结论对妊娠期糖尿病患者实施早期筛查并进行及时干预,对于改善GDM孕妇的妊娠结局具有明显作用,有助于改善妊娠结局,降低围产期母婴并发症发生率,可保障母婴安全。
Objective This paper investigates the impact of early intervention of gestational diabetes mellitus（GDM） on pregnancy outcomes. Methods 70 pregnant women who came to our hospital during January 2014-2015 in June were selected as the research object. In the observation group, 35 cases of pregnant women in the early pregnancy that is receiving systemic examination, the diagnosis of GDM after taking intervention measures for treatment, 35 cases of pregnant women were set as the control group, all of them received any systematic prenatal examination, until the late pregnancy was diagnosed as GDM, did not give any treatment. The pregnancy outcome of two groups was compared. Results The pregnant outcome of the observation group was significantly better than the control group, the difference was statistically significant（P〈0.05）;the incidence of neonatal complications was significantly lower than that of the control group, the difference was statistically significant（P〈0.05） in the two groups. Conclusion Early screening and timely intervention in patients with gestational diabetes mellitus, for improving the pregnancy outcome of GDM pregnant women has a significant role to improve the pregnancy outcome and reduce the incidence of maternal and infant complications, which can protect the safety of mother and baby.
出处
《糖尿病新世界》
2015年第18期69-71,共3页
Diabetes New World Magazine
关键词
妊娠期糖尿病
早期筛查
干预
围产期
Gestational diabetes mellitus
Early screening
Intervention
Perinatal period
