【摘要】 目的分析妊娠期糖尿病(GDM)的管理与妊娠结局的相关性。方法回顾性分析87例GDM患者的临床资料,根据血糖控制程度分为满意组和不满意组,对比两组孕产妇并发症率、剖宫产率及新生儿病率。结果不满意组妊高征、酮症、羊水过多、早产、胎儿发育迟缓的发生率及剖宫产率明显高于满意组,新生儿巨大儿、低血糖、呼吸窘迫综合征、畸形、新生儿窒息的发生率明显高于满意组,差异均有显著性意义(P<0.05)。结论重视围产保健,争取GDM的早期诊断和治疗,加强管理,以饮食控制为基础,必要时加用胰岛素,适当放宽剖宫产指征,有利于获得良好妊娠结局。更多还原

【Abstract】 Objectives:To explore the relationship between gestational di abetes mellitus management and pregnancy outcome.Methods:Eighty-seven cases of GDM,accorded to blood glucose level,were divided into tow groups: good response and no response to the managements.The comparison between two groups for pregna ncy complication,cesaracean and netal morbidity rates was performed. Results: Th ere was a markedly increased of PIH.acetone,amonotic,postmature fetus IUGR,ARDS, huge netus and low blood glucose(P<0.05)in good response group than in contr ol group.Conclusion:GDM management should be paid attention for diagnosis and tr eatment such as food control,adding necessary insulin and apt to wide cesaracean in order to get a good pregnancy outcome.更多还原