糖耐量受损的干预与母儿围产期结局分析

Analyses the perinatal outcome of intervention women with gestational impaired tolerance

目的探讨糖耐量受损(G IGT)的干预对母儿围产结局的影响。方法收集2004年1月—2007年6月在我院诊治的糖耐量受损的孕妇116例,其中51例接受糖尿病饮食控制,胰岛素治疗(干预组);65例未给予处理(未干预组),对两组母儿围产结局进行分析。结果干预组孕妇妊娠期高血压病发生率10.71%低于未干预组18.63%(P<0.05),差异有显著性。羊水过多干预组发生率7.00%低于未干预族24.60%差异有显著性(P<0.05)。巨大儿发生率干预组14.29%低于未干预组24.60%,差异有显著性(P<0.05)。结论对糖耐量受损的孕妇进行积极干预可降低母儿围产病率的发生。

Objective： To Explore impaired glucose tolerance （GIGT） intervention on the mother and infant perinatal outcome. Methods： 116 women with GIGT were randomized into intervention group （51 mothers） that included diet control and insulin therapy and 65 cases not to deal with （ non - intervention group ）. The perinatal outcomes were compared in the two groups. Results ： The incidence of intervention pregnancy induced hepertension is lower then the untreating （ P 〈0. 05）. Macrosomia （ P 〈0. 05） and polyhydramnios （ P 〈 0. 05 ） was found to be lower in the treated group than the untreated group. Conclusion ： Impaired glucose tolerance of pregnant women to actively intervene to reduce mother and infant rate of perinatal disease occurred.