糖尿病新世界
糖尿病新世界
당뇨병신세계
Diabetes New World
2015年
17期
4-6
,共3页
妊娠糖尿病%治疗%妊娠结局
妊娠糖尿病%治療%妊娠結跼
임신당뇨병%치료%임신결국
Gestational diabetes mellitus%Treatment%Pregnancy outcome
目的：深入研究妊娠糖尿病治疗对妊娠结局的影响。方法选取于2012年7月-2015年6月期间在该院接受治疗的妊娠糖尿病孕产妇88例，将孕产妇随机分为对照组(42例)和治疗组(46例)进行对照研究，观察保守治疗和胰岛素治疗的效果并进行比较。结果治疗组孕产妇的剖宫产、妊高征、羊水过多、胎膜早破、产后出血、生殖道感染等围生期并发症发生率均显著低于对照组；同时治疗组围生儿巨大儿、胎儿窘迫、胎儿畸形、胎儿窒息、新生儿窒息、新生儿低血糖等围生期并发症发生率均显著低于对照组，差异有统计学意义(P<0.05)。结论在对妊娠糖尿病孕产妇进行保守治疗的基础上给予胰岛素治疗具有显著的效果，能够显著改善妊娠结局，对降低孕产妇以及围生儿的围生期并发症发生率具有显著的临床作用和意义。
目的：深入研究妊娠糖尿病治療對妊娠結跼的影響。方法選取于2012年7月-2015年6月期間在該院接受治療的妊娠糖尿病孕產婦88例，將孕產婦隨機分為對照組(42例)和治療組(46例)進行對照研究，觀察保守治療和胰島素治療的效果併進行比較。結果治療組孕產婦的剖宮產、妊高徵、羊水過多、胎膜早破、產後齣血、生殖道感染等圍生期併髮癥髮生率均顯著低于對照組；同時治療組圍生兒巨大兒、胎兒窘迫、胎兒畸形、胎兒窒息、新生兒窒息、新生兒低血糖等圍生期併髮癥髮生率均顯著低于對照組，差異有統計學意義(P<0.05)。結論在對妊娠糖尿病孕產婦進行保守治療的基礎上給予胰島素治療具有顯著的效果，能夠顯著改善妊娠結跼，對降低孕產婦以及圍生兒的圍生期併髮癥髮生率具有顯著的臨床作用和意義。
목적：심입연구임신당뇨병치료대임신결국적영향。방법선취우2012년7월-2015년6월기간재해원접수치료적임신당뇨병잉산부88례，장잉산부수궤분위대조조(42례)화치료조(46례)진행대조연구，관찰보수치료화이도소치료적효과병진행비교。결과치료조잉산부적부궁산、임고정、양수과다、태막조파、산후출혈、생식도감염등위생기병발증발생솔균현저저우대조조；동시치료조위생인거대인、태인군박、태인기형、태인질식、신생인질식、신생인저혈당등위생기병발증발생솔균현저저우대조조，차이유통계학의의(P<0.05)。결론재대임신당뇨병잉산부진행보수치료적기출상급여이도소치료구유현저적효과，능구현저개선임신결국，대강저잉산부이급위생인적위생기병발증발생솔구유현저적림상작용화의의。
Objective To further study the effect of the treatment on the pregnancy outcome in gestational diabetes mellitus. Methods 88 pregnant women with gestational diabetes mellitus treated in our hospital from July 2012 to June 2015 were selected and randomly divided into the control group(42 cases) and the treatment group(46 cases) for the control study. The control group was given expectant treatment, and the treatment group was treated by insulin based on the expectant treat-ment. And the therapeutic effect was compared between the two groups. Results The incidence of cesarean section, pregnan-cy-induced hypertension syndrome, hydramnion, premature rupture of membranes, postpartum hemorrhage, genital tract in-fection and other perinatal complications was much lower in the treatment group than that in the control group, respectively;the incidence of fetal macrosomia, fetal distress, fetal malformation, fetal asphyxia, neonatal asphyxia, neonatal hypoglycemia and other perinatal complications was much lower in the treatment group than that in the control group, respectively with sta-tistically significant difference (P<0.05). Conclusion For pregnant women with gestational diabetes mellitus, the insulin treatment combined with expectant treatment has significant effect, which can obviously improve the pregnancy outcome, re-duce the incidence of perinatal complications in pregnant women and perinatal infants with significant clinical value.
