【摘要】 目的:探讨加强妊娠期糖尿病筛查与管理对围产结局的影响。方法:选择已确诊的妊娠期糖尿病患者124例,按孕期未进行管理26例为病例组Ⅰ(入院及诊断较迟),已系统管理的98例为病例组Ⅱ,分析其临床资料进行统计学处理。结果:病例组Ⅰ围产病率明显高于病例组Ⅱ;妊高征(2χ=7.113 6,P=0.007 6)、酮症酸中毒(2χ=5.858 7,P=0.015 5)、巨大儿(2χ=4.172 3,P=0.041 1)、胎儿窘迫(2χ=8.212 6,P=0.004 2)、新生儿窒息(2χ=8.901 6,P=0.002 8)均有明显的差异。结论:妊娠期糖尿病严重危害着母儿健康,加强妊娠期糖尿病系统化管理能有效地降低围产病率。更多还原

【Abstract】 Objective:To explore the effect on intensive prenatal management of gestational diabetes mellitus and perinatal outcome.Methods:Divided 124 gestational diabetes mellitus(GDM) patients into 2 groups: group 1(n=26)not treated properly because of diagnosed and admission late;group 2(n=98) managed ambulatorily.The perinatal outcome was analyzed.Results:There was significantly difference in perinatal morbidity between two groups.Patients had lower rates of pregnancy induced hypertension,ketosis,macrosomia,fetal distress,neonatal asphyxia in group 2 than in group l.Conclusion:Intensive management of GDM patients can reduce effectively perinatal morbidity for both mother and neonate.更多还原