妊娠期糖尿病518例临床分析..docVIP

妊娠期糖尿病8例临床分析 交口县人民医院 王完英 032400【摘要】 目的 观察妊娠期糖尿病的治疗效果。 方法 对妊娠期血糖异常例分为A、B、C三组，观察每组治疗效果及母儿并发症的发生情况。治疗方法为单项饮食管理或加运动锻炼及胰岛素治疗。结果 饮食疗法总有效率为9%， A组为98.％；B组为8.00％；C组为.00％。 在饮食疗法基础上运动锻炼有效率为82.35%，胰岛素治疗有效率为87.50；治疗者母儿并发症较未治疗者明显减少（P0.05)。结论 饮食疗法是治疗妊娠期糖尿病的主要方法，治疗效果不理想者可加用运动锻炼和（或）胰岛素治疗，治疗有效者并发症发生率明显下降。 【关键词】妊娠期;糖尿病；母儿并发症；治疗方法 ; Clinical analysis of 518 cases gestational diabetes Wang Wan ying Jiao kou lourtny pople,s Hospital ,Jiao Kou 032400 [Abstract] Objective To obsere the efficacy in the treatment of gestational diabetes mellitus(GDM).Methobs We retrospectively analysed 468 cases with abnormal blood glucose level in pregnancy They were divided into A,Band Cgroup.Maternal-fetal complications and the efficacy of the treatment regimen were observed among each group.The treatment regimen was dietary control,or with exercise and insulin based on dietary management.Results 92.97%of all the patients were assessed as effective in these three grous:98.26 in Group A,85.00% in Group B, 78.00% in Group C. Physical exercise based on dietary control was effective in 82.357%.while insulin based on dietary control was effective in 87.50%. the matemal-fetal complicatications were significantly decreased in the treatment group than those untreated in all three group (p0.05) Conclusion Diet ary therapy is the main method of treatment of GDM Physical exercise and/or insulin should be added in those with unsatisfactory control under dietargement Matemal-fetal complications can be decreased in well-controlled patients. [Key words] pregnancg Gestational diabetes mellitus maternal fetal complications methods of the treatment. 妊娠期糖尿病（GDM）系指在妊娠期出现或发现的糖耐量异常［1］,GDM能对母儿均有较大的危害。因此，早期诊断及有效治疗对母儿健康十分重要。我院于200年1月至20年12月对3126例孕妇进行口服50g葡萄糖筛选试验，并对其中例血糖异常者进行密切随访和采取相应的治疗，现总结就如下。1 资料与方法 1.1 研究对象 妊娠期血糖异常者例，发生率占％，包括50g糖筛查试验阳性（50g阳性）例为A组，糖耐量低减（IGT)9例为B组，GDM例为C组。三组孕妇的年龄、胎产次、孕周和体重指数（BMI）相比均无显著差异（P0.05），具有可比性。 1.2 检测方法与诊断标准 尿糖测定 尿糖阳性者不要仅考虑妊娠期生理性糖尿，应进一步做空腹血糖检查及糖筛查试