妊娠合并糖尿病母婴预后分析(1)
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【摘要】目的：结合临床实践经验，分析研究妊娠合并糖尿病母婴的预后情况。方法：选取2009年1月~2009年12月期间在我院住院分娩的产妇206例为研究对象，采用回顾性分析法，对孕妇的临床资料进行总结分析，开展妊娠期糖尿病筛查及并探讨妊娠合并糖尿病母婴的妊娠结局以及其预后。采用MicrosoftExcel建立数据库，运用SPSS 13. 0统计软件进行统计分析。采用χ2检验，取P<0.05为差别有统计学意义。结果：本次研究中，共有18例确认为妊娠期糖尿病，发生率为8.74%(18/206)。A组中采用单纯饮食控制加运动的方法控制血糖，满意者9例，血糖控制不满意者加用胰岛素治疗2例。B组1例加用胰岛素治疗。A组剖宫产率、新生儿窒息发生率、巨大儿发生率、死胎发生率、孕妇并发症发生率均低于B组，差别有统计学意义(P<0.05)。结论：应加强孕期保健知识的宣传教育，提高医务人员诊治及管理妊娠期糖尿病的能力，做好孕期保健，从而实现降低母婴并发症和围产儿死亡的诊疗目的。
【关键词】妊娠期糖尿病筛查；妊娠结局；妊娠糖尿病；母婴预后
Prognosis of mother and child of Gestational diabetes
【Abstract】 Objective: Based on clinical experience, analysis of maternal diabetes during pregnancy prognosis. Methods: Take a retrospective analysis, select 206 cases in our hospital for maternity deliveryduring January 2009 ~ December 2009 offor the study, clinical data on pregnant women were analyzed, and to carry out screening and gestational diabetes mellitus of maternal diabetes during pregnancy and the pregnancy outcomes of their prognosis. Results: In this study, a total of 18 patients identified as gestational diabetes, the rate was 8.74% (18/206). A group diet and exercise using simple methods to control blood sugar, 9 patients were satisfied, not satisfied with blood glucose control with insulin therapy plus 2 cases. B group 1 patients treated with insulin plus. A group of cesarean section rate, incidence of neonatal asphyxia, the incidence of large children, the incidence of stillbirth, pregnancy complication rates lower than the B group, the difference was statistically significant (P<0.05). Conclusion: We should Should strengthen propaganda and education on pregnancy health knowledge,and improve management of gestational diabetes diagnosis and treatment capacity of medical staff. Give a good prenatal care, thus achieving diagnosis and treatment purposes .
【Key words】 Screening for gestational diabetes；Pregnancy outcome；Prognosis of mother and child；Gestational diabetes
【中图分类号】R426【文献标识码】B【文章编号】1005-0515(2011)04-0008-02
妊娠期糖尿病(GDM)是一种常见的妊娠期并发症，有研究表明，GDM发生率世界各国报道为1%～14%[1]，且该病的患病率逐年增加，而早期发现GDM并给以适当治疗是改善母婴预后，减少母婴并发症的重要措施。为此，笔者选取选取2009年1月~2009年12月期间我院孕产妇为研究对象，开展如下研究：
1 对象与方法
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