妊娠期糖尿病孕期干预方法的研究

目的 探讨了妊娠期糖尿病的一些预防和干预方法.方法 回顾分析广州新海医院2014年10月至2015年10月共收治孕期未经干预的产妇,选取85例孕期糖尿病筛查阳性的孕妇作为观察组,采取早期系统干预;将住院分娩时才被诊断为GDM并且整个孕期都没有接受系统干预的85例产妇作为对照组.结果 观察组GDM患者经过系统干预后,发生先兆子痫的3例、羊水过多5例、胎膜旱破3例、巨大儿7例、胎儿宫内窘迫3例、新生儿窒息3例,未发生新生儿低血糖,GDM并发症的发生率均低于同期未干预的GDM患者,差异有统计学意义(均P＜0.05).结论 妊娠期糖尿病在各国的发病呈上升趋势,可严重威胁母子的身心健康,经过心理、饮食、运动等及时干预措施可以很好地降低该病的发病几率.

Intervention of gestational diabetes

Objective To explore some methods in the of prevention and intervention gestational diabetes.Methods The puerperae not been intervened and admitted into our hospital from October,2014 to October,2015 were retrospectively analyzed.85 cases positive in screening of diabetes during pregnancy were selected as an observation group and were early and systematically intervened.85 puerperae diagnosed with gestational diabetes when being hospitalized for delivery and getting no intervention during the whole pregnancy were selected as a control group.Results After systematical intervention,3 cases got preeclampsia,5 hydramnios,3 premature rupture of membranes,7 microsomal,3 fetal distress,3 neonatal asphyxia,and no neonatal hypoglycemia in the observation group.The incidence of GDM complications was lower in the observation group than in the control group (P ＜ 0.05).Conclusions The incidence of gestational diabetes is increasing in the world.The disease can be a serious threat to the mothers and children's physical and mental health.Psychological,diet,exercise measures and timely nursing intervention can decrease the incidence of the disease.