妊娠期糖尿病的临床治疗与妊娠结局的关系探讨.pdfVIP

实用预防医学 2007年12 ft 第 l4卷 第6期 Practical Preventive Medicine，Dec．2007．Vol 14．No．6 1829 文章编号：1006—3110(2007)06—1829—03 妊娠期糖尿病的临床治疗与妊娠结局的关系探讨 张 焱 摘要： 目的 探讨妊娠期糖尿病(GDM)的临床治疗，并分析与妊娠结局的相关性。 方法 比较我院90例经收 入院治疗的GDM孕妇和90例同期因各种原因未得以收入院干预治疗的GDM孕妇的临床资料，分析孕妇的分娩方式、 产科并发症及预后等情况。 结果 治疗组新生儿窒息、低血糖、围产儿死亡、巨大儿、羊水过多、产后出血、妊高征、胎膜 早破方面及分娩方式与对照组比较，差异有统计学意义(P0．05)。 结论 GDM应早期诊断和治疗，控制血糖使血糖 维持在正常水平是GDM治疗的关键，必要时加用胰岛素、适当放宽剖宫产指征，有利于获得良好妊娠结局。 关键词： 妊娠期塘尿病；妊娠结局；相关性 中图分类号：R587．1 文献标识码：A Discussion on Relationship Between Clinical Treatmenl of Gestational Diabetes Mellitus and Pregnancy Outcome ZHANG ， ， Yan(Pudong New Area ofMaternal and Child Health Care Hospital，Pudong 201206，Shanghai) Abstract： 0bjective To study the correlation between clinical treatment of gestational diabetes mellitus(GDM)and the related pregnancy outcomes． Methods The clinical data of 90 GDM pregnant women treated in our hospital and 90 GDM pregnant wom en without hospitalized interference treatment were compared；and the way of parturition，obstetric corn- plications and prognosis of the two groups were analyzed． Results Infant asphyxia，low blood sugar，perinatal deaths，fe- tal macrosomia，excessive amniotic fluid，postpartum hemorrhage，pregnancy—induced hypertension syndrome，premature de livery，preeclampsia，premature rupture of membranes，postpartum bleeding and mode of delivery of the treatment group were significantly better as compared with the control group(P0．05)． Conclusions GDM should be early diagnosed and treated．Control of blood glucose level is the key in treatment of GDM，administration of insulin and appropriate relaxation of cesarean section indication can conduce to good pregnancy outcome． Key words： Gestational diabetes mellitus；Pregnancy outcome；Correlation