妊娠期糖尿病管理与妊娠糖尿病母儿结局的临床分析

目的:探讨妊娠期糖尿病筛查与管理,调查其患病率及妊娠糖尿病血糖控制对妊娠结局的影响。方法:选择已确诊的妊娠期糖尿病患者51例,按孕期未进行系统管理(孕期血糖控制不良)21例为病例组A,已系统管理(孕期血糖控制良好)30例为病例组B,两组进行比较。结果:妊娠糖尿病患病率为20.98%,A组的妊高征、早产儿、先兆子痫、胎死宫内等的发病率较B组明显增高,有显著差异。A组的新生儿畸形、低体重儿均较B组明显增高,有显著差异。结论:加强妊娠期糖尿病系统管理,有效地控制糖尿病孕妇孕期血糖,可减少孕产妇合并症。

The management of gestational diabetes mellitus (GDM) and fetal outcome in pregnancy with GDM

Objective:To explore the management of GDM and the relationship between blood glucose level and pregnancy outcome.Methods:Divided 51GDM patients into 2 groups according to the prenatal management,group A(n=21) not treated properly,group B(n=30) well managed.Two groups were compared.Results:The rate of GDMcase was 20.98%.The rate of pregnancy induced hypertension and premature labor and preeclampsia in group A were significantly higher than those in group B.The rate of new born malformation and new born erythrocytosis and low birth weight infant in group A were significantly higher than those in group B.Conclusion:Maternal blood glucose with ideal control throughout pregnancy and management of GDM patients may reduce the maternal complications im GDM.