中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
23期
40-42
,共3页
妊娠期糖尿病%孕期规范化%治疗妊娠结局
妊娠期糖尿病%孕期規範化%治療妊娠結跼
임신기당뇨병%잉기규범화%치료임신결국
Gestational diabetes mellitus%Standardized treatment%Pregnant outcomes
目的：探讨妊娠期糖尿病的孕期规范化治疗对妊娠结局的影响。方法选取该院诊断及治疗、分娩的72例妊娠期糖尿病患者作为研究对象，通过计算机软件把72例妊娠期糖尿病患者随机分成两组，观察组和对照组各36例，给予研究组妊娠期糖尿病患者规范化治疗，给予对照组常规治疗，对比两组孕妇临床资料、妊娠结局及围产儿结局。结果对照组妊娠期糖尿病孕妇体重增加及剖宫产率显著高于研究组孕妇，两组在妊娠期高血压、羊水过多、胎膜早破、酮症酸中毒、产后出血、巨大儿、胎儿窘迫、新生儿低血糖、高胆红素血症等方面比较差异有统计学意义(P<0.05)。结论妊娠期糖尿病孕期规范化治疗，可明显降低母婴并发症的发生率，改善妊娠结局，甚至达到正常孕妇水平，值得临床应用。
目的：探討妊娠期糖尿病的孕期規範化治療對妊娠結跼的影響。方法選取該院診斷及治療、分娩的72例妊娠期糖尿病患者作為研究對象，通過計算機軟件把72例妊娠期糖尿病患者隨機分成兩組，觀察組和對照組各36例，給予研究組妊娠期糖尿病患者規範化治療，給予對照組常規治療，對比兩組孕婦臨床資料、妊娠結跼及圍產兒結跼。結果對照組妊娠期糖尿病孕婦體重增加及剖宮產率顯著高于研究組孕婦，兩組在妊娠期高血壓、羊水過多、胎膜早破、酮癥痠中毒、產後齣血、巨大兒、胎兒窘迫、新生兒低血糖、高膽紅素血癥等方麵比較差異有統計學意義(P<0.05)。結論妊娠期糖尿病孕期規範化治療，可明顯降低母嬰併髮癥的髮生率，改善妊娠結跼，甚至達到正常孕婦水平，值得臨床應用。
목적：탐토임신기당뇨병적잉기규범화치료대임신결국적영향。방법선취해원진단급치료、분면적72례임신기당뇨병환자작위연구대상，통과계산궤연건파72례임신기당뇨병환자수궤분성량조，관찰조화대조조각36례，급여연구조임신기당뇨병환자규범화치료，급여대조조상규치료，대비량조잉부림상자료、임신결국급위산인결국。결과대조조임신기당뇨병잉부체중증가급부궁산솔현저고우연구조잉부，량조재임신기고혈압、양수과다、태막조파、동증산중독、산후출혈、거대인、태인군박、신생인저혈당、고담홍소혈증등방면비교차이유통계학의의(P<0.05)。결론임신기당뇨병잉기규범화치료，가명현강저모영병발증적발생솔，개선임신결국，심지체도정상잉부수평，치득림상응용。
Objective To explore the effect of standardized treatment for gestational diabetes mellitus on pregnant outcomes. Methods 72 patients with gestational diabetes mellitus who underwent diagnosis, treatment and delivery in our hospital were se-lected as the research object and divided randomly, by computer software, into observation group and control group with 36 in each. Standardized treatment and routine treatment were performed in them respectively. The clinical data, pregnant outcomes, and perinatal outcomes were compared between the two groups. Results The rate of weight gain and cesarean section rate were obvi-ously higher in the control group than in the observation group. In addition, in the aspects of hypertensive disorders in pregnancy, polyhydramnios, premature rupture of membranes, ketoacidosis, postpartum hemorrhage, giant baby, fetal distress, neonatal hypo-glycemia, hyperbilirubinemia etc, there were statistically significant differences between the two groups(P<0.05). Conclusion Stan-dardized treatment for gestational diabetes mellitus can reduce maternal and neonatal complications and improve pregnant out-comes. Therefore it is worthy of clinical application.
