妊娠期糖尿病筛查与处理的临床分析

Clinical analysis of creening and treating of GDM

关键词:  妊娠期糖尿病  诊断  治疗

Key words:  gestational diabetes mellitus  diagnosis  treatment

摘要:

［目的］探讨妊娠期糖尿病（GDM）的诊断与临床治疗方法。［方法］对2 617例孕妇行糖尿病筛查，诊断76例作为观察组，选取同期符合GDM诊断标准未经正规治疗的57例作为对照组，比较两组的母儿结局。［结果］两组妊娠结局观察组羊水过多、胎膜早破、早产、感染、剖宫产率均低于对照组，有显著性差异。两组围产儿结局比较观察组巨大儿、胎儿窘迫、新生儿窒息、低血糖、高胆红素血症、围产儿死亡率均低于对照组，有显著性差异(P<0.05)。［结论］尽早诊断，积极治疗GDM，可明显改善母儿预后。

Abstract:

［Objective］To discuss the diagnosis and clinical treatment methods of gestational diabetes mellitus(GDM). ［Methods］ Two thousand six hundred and seventeen pregnant women were performed diabetes screening. There were 76 GDM patients with satisfied blood sugar in the control group and 57 ones on the corr esponding time period who conformed to GDM diagnostic standards but were not treated normally. Compare the outcomes of pregnant women and fetus in the two groups.　［Result］ The pregnant outcomes of the two groups: polyhydramnios, premature rupture of membranes, premature delivery, infection and rate of caesarean section were significantly lower in the control group than in the study group. The fetal outcomes of the two groups: fetal macrosomia,fetal distress, asphyxianeonatorum, low blood sugar, hyperbilirubinemia and mortality rate of fetus was significantly lower in the control group than in the study group.［Conclusion］:If the GDM was diagnosed as early as we can and actively treated，it would obviously improve the prognosis of pregnant women and fetus.