妊娠糖尿病围产期管理与母儿结局关系92例分析

目的探讨妊娠糖尿病(GD)围产期管理对母儿结局的影响。方法将92例GD患者按确诊时间分为A组(≤34孕周确诊者)和B组(≥35孕周确诊者),并从确诊之日起指导患者饮食控制和运动,或加胰岛素治疗,观察两组母儿结局。结果B组妊高征、羊水过多、早产、剖宫产率、巨大儿、高胆红素血症、新生儿低血糖发生率均高于A组(P<0.05)。结论早期诊断GD及控制血糖可减少母儿并发症的发生。

Relationship of perinatal management and maternal and fetal outcomes in gestational diabetes:analysis of 92 cases

Objective To explore effects of perinatal management on maternal and fetal outcomes in gestational diabetes(GD).Methods Ninety-two GD patients were divided into group A (time of final diagnosis ≤34 gestational weeks )and group B(time of final diagnosis ≥35 gestational weeks) according to the time of final diagnosis. Alimentary control and exercise were instructed in patients after diagnosis.Otherwise,Insulin treatment were administered.Maternal and fetal outcomes were observed in two groups.Results Incidence of pregnancy-induced hypertension syndrome, hydramnios, immature labor, uterine-incision delivery,fatal macrosomia, hyperbilirubinemia and neonatal hypoglycemia in group B was significantly higher than that in group A(P<0.05).Conclusion Early diagnosis of GD and blood glucose control can decrease occurrence of maternal and fetal complications.