【摘要】 目的 探讨妊娠期糖尿病的孕期管理对母婴的影响。方法 将妊娠期糖尿病的110例患者随机分为观察A组60例(实施孕期管理)和观察B组50例(未采取孕期管理措施), 另抽取50例正常孕妇作为对照组, 对比三组的母婴结局。结果 观察A组及观察B组的孕妇、新生儿并发症发生率均高于对照组(P<0.05), 观察A组并发症发生率与对照组相比差异无统计学意义(P>0.05), 观察B组各个并发症的发生率明显高于对照组(P<0.05)。结论 对妊娠期糖尿病患者进行系统的孕期管理, 能够将血糖水平控制在合理范围内, 减少母婴并发症, 改善母婴结局。

    【关键词】 妊娠期糖尿病；孕期管理；母婴；影响

    Effect of pregnancy management of gestational diabetes mellitus on maternal and infant outcome HUANG Yun. Maternal and children Health Center, 181 Hospital of PLA, Guilin 541002, China

    【Abstract】ObjectiveTo explore impact of gestational diabetes mellitus on maternal and infant outcome. MethodsFrom September 2012 to October 2013, 110 cases of gestational diabetes patients were randomly divided into observation group A, 60 cases with pregnancy management and observation group B, 50 cases without pregnancy management measures, 50 cases of normal pregnant women as control group, compare the outcomes of three groups. ResultsPregnant women, newborn complication rates of observed group A and group B were higher than control group(P<0.05), compared complication rate of group A and control group, there was no significant difference(P>0.05), complication rate of observation group B was obviously higher than that of control group(P<0.05). ConclusionSystematic pregnancy management in patients with gestational diabetes can control blood sugar level in reasonable scope and improve maternal and infant outcomes. ......
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    黄云 中国人民解放军第一八一医院妇幼中心;

    【摘要】目的探讨妊娠期糖尿病的孕期管理对母婴的影响。方法将妊娠期糖尿病的110例患者随机分为观察A组60例(实施孕期管理)和观察B组50例(未采取孕期管理措施),另抽取50例正常孕妇作为对照组,对比三组的母婴结局。结果观察A组及观察B组的孕妇、新生儿并发症发生率均高于对照组(P0.05),观察A组并发症发生率与对照组相比差异无统计学意义(P0.05),观察B组各个并发症的发生率明显高于对照组(P0.05)。结论对妊娠期糖尿病患者进行系统的孕期管理,能够将血糖水平控制在合理范围内,减少母婴并发症,改善母婴结局。

    【关键词】 妊娠期糖尿病 孕期管理 母婴 影响

    【分类号】R714.256

    妊娠期糖尿病将会直接影响到母婴结局,容易引发各种产科并发症,情况严重甚至会出现死胎的现象,并且极大的增加了母儿患肥胖症、糖尿病的几率[1]。所以,只有加强妊娠期糖尿病患者的孕期管理,才能够有效控制患者血糖水平,减少并发症发生率,有效保证新生儿的生命健康。现对2012年