妊娠期糖尿病50例临床分析与经验总结.docxVIP

妊娠期糖尿病50例临床分析与经验总结 王馨芸白蓉汪敏雷颖 (四川省成都市温江区妇幼保健院 四川成都611130) 【摘要】目的：通过对我院近期收治的妊娠期糖尿病50例进行临床分析和 总结，探讨妊娠期糖尿病合理治疗方案和策略。方法：选取2013年1月至2014 年1月在我们收治并诊断为妊娠期糖尿病患者50例，按照随机分组的方法，将 患者分为对照组和实验组，每组患者25例。对照组采用传统基础治疗方式，而 实验组采用在此基础上进行饮食治疗、运动指导等综合干预和指导，比较两组患 者临床治疗疗效。结果：两组患者经过不同的治疗方案后，实验组空腹血糖、餐 后2h血糖和糖化血红蛋白均明显低于对照组(Plt;0.05或Plt;0.01)。实验组 羊水过多、酮症酸中毒、反流率、高胆红素血症、新生儿窒息、早产率等不良并 发症均明显低于对照组，两组对比存在显著性差异(Pt;0.05)o结论：对于妊 娠期糖尿病患者，采用综合干预治疗方案，可以显著改善患者的血糖水平和明显 提高母婴预后，减少不良并发症的发生，可取得良好的临床效果，值得临床推广。 【关键词】妊娠期糖尿病 综合治疗 糖化血红蛋白 【中图分类号】R714 【文献标识码】A 【文章编号】1672-5085 (2014) 23-0089-02 Clinical analysis and summary of 50 cases of gestational diabetes Xi-yun Wang, Rong Bai, Min Wang, Yin Lei (Wenjiang Women and Chilren Hospital, Chengdu City, Sichuan Province, 611130) [Abstract 】Objective: 50 cases of gestational diabetes were retrospectively analyzed and summarized to discuss the better treatment plan and strategy for gestational diabetes. Methods: 50 cases with gestational diabetes in our hospital from 2013 January to 2014 January were randomly divided into experiment group and control group with 25 cases each group. The patients in control group were treated with traditional therapy, while the experimental group was carried out on the basis of diet therapy, exercise guidanee comprehensive intervention and guidance? Clinical effect was compared. Results: After different treatment, the fasting blood glucose, 2h postprandial blood glucose and glycosylated hemoglobin in experimental group were significantly lower than those in the control group (Plt;0.05 or Plt;0.01). The adverse complications including polyhydramnios, ketoacidosis, reflux, hyperbilirubinemia, neonatal asphyxia, premature birth, and others in the experimental group were significantly lower than those in the control group (Plt;0.05). Conclusion: For patients with gestational diabetes, the comprehensive intervention therapy, patients can significantly improve blood sugar levels and sigrdficantly improve prog no sis, reduce adverse complicati ons, ca