摘要
目的探讨妊娠期糖尿病患者在不同时机治疗对母婴预后的影响。方法我科2006年1月～2010年10月诊治的63例住院分娩的妊娠期糖尿病患者,30例在孕中期确诊为妊娠期糖尿病为A组,33例在孕34周后确诊为妊娠期糖尿病为B组,两组患者均在确诊后给予及时治疗,从并发症发生情况、围生儿结局及终止妊娠方式三方面比较两组患者干预效果。结果 A组患者并发症包括妊娠高血压疾病、羊水过多、产后感染及酮症酸中毒发生率明显低于B组患者,A组患者巨大儿、早产儿、新生儿窒息或胎儿宫内窘迫及围生儿死亡率明显低于B组患者,A组患者剖宫产率显著低于B组患者,差异均有统计学意义(P<0.05)。结论 妊娠期糖尿病严重威胁母婴预后,孕妇应做好孕期检查尽早筛查确诊并及时治疗,可显著降低产妇并发症发生率及剖宫产率,改善围生儿结局。
Objective To explore the gestational the influence of maternal and infant prognosis. Methods diabetes patients in different time treatment for Of the 63 inpatient delivery gestational diabetes in our branch from January 2006-2010 October, 30 cases diagnosed in pregnancy mid gestational diabetes for group A, 33 cases in pregnancy 34 weeks later diagnosed gestational diabetes for group B, two groups of patients were in the immediate treatment, after diagnosis from complications, perinatals ending and termination of gestation way three aspects compared between the two groups patients intervention effects. Results A group of patients with hypertension disease, complications included hydramnios, postpartum infection and TongZbeng acidosis incidence obviously lower than group B patients, A group of patients with huge son, premature babies, suffocate or intrauterine fetal distress and perinatals mortality obviously lower than group B patients, A group of patients cesarean section rate significantly below group B patients, differences are statistically significant （P〈 0.05）. Concinsions The gestationat diabetes serious threat mother--to--child prognosis, pregnant woman should do early screening inspection for diagnosed and treated pregnancy, which can significantly reduce maternal complications and cesarean seetion rate and improve prenatal ending.
出处
《齐齐哈尔医学院学报》
2011年第8期1200-1201,共2页
Journal of Qiqihar Medical University
关键词
不同治疗时机
妊娠期糖尿病
母婴预后
Different timing of treatment Gestational diabetes Mother--to--child prognosis
