地塞米松促胎肺成熟对妊娠期糖尿病孕母及其围产儿预后的影响.pdfVIP

32 4 428 ( ) Vol. 32 No. 4 P. 428 2003 8 J Huazhong Univ Sci T ch [ H alth Sci] Aug. 2003 高 慧 邹 丽 , 430022 ( GDM ) 70 [ 10 mg \20 mg \24 h 24 h GDM , ; ; \20 mg [ 10 mg Apgar \20 mg , ( P 0105) ; 24 h \24 h , , ; ; Effect of Dexamethasone on Maternal and Perinatal Prognosis in Gestational Diabetes Mellitus Gao Hui, Zou Li Dep artment of Obstetrics and Gynecology, Xiehe Hosp ital, Tongj i Medical College, Huazhong niversity of Science and Technology, Wuhan 430022 Abstract Objective To inv stigat th ff ct of d xam thason on mat rnal complications and p rinatal prognosis in g stational diab t s m llitus ( GDM) . Methods S v nty cas s of GDM from 1996 to 2002 w r d-i vid d into d xam thason -tr at d group and control group. Th d x am thason-tr at d group w as divid d into tw o subgroups: [ 10 mg group and \20 mg group according to th dosag of d x am thason . T h tr at d group w r divid d into two subgroups: \24 h group and 24 h group according to th tim from administra- tion to labor. Th clinical data w r coll ct d and th incid nc of mat rnal and p rinatal complications w as com- par d among th groups. Results Th incid nc of mat rnal complications and th ratio of unsatisfactory con- trol of blood glucos w r low r in d xam thason-tr at d group, but w ithout significant diff r nc . Th inc-i d nc of f tal distr ss and inf ction and hypoglyc mia w as low r in d x a