妊娠期糖尿病孕妇40例妊娠结局和处理方式

Effect of 40 cases of GDM pregnant women and suitable treatment

目的探讨妊娠期糖尿病孕妇妊娠结局和处理方式。方法对2007年1月至2009年1月来我院产科住院分娩的40例妊娠期糖尿病孕妇及40例健康孕妇的分娩情况进行回顾性分析。结果妊娠期糖尿病患者妊娠期高血压疾病、羊水过多、巨大儿、胎儿窘迫、新生儿窒息、剖宫产等发生率明显增高(P<0.05),因此妊娠期糖尿病孕妇大多选择剖宫产结束分娩。结论早期诊断妊娠期糖尿病及控制血糖是减少母婴并发症的关键。

Objective To explore the effect of 40 cases of GDM pregnant women and suitable treatment. Methods Forty GDM pregnant patients and forty normal pregnant women who delivered in the obstetric department of our hospital from January 2007 to January 2009 were selected as the subjects, and the delivery status was retrospectively analyzed. Results For the GDM pregnant patients, the occurrence rates of hypertensive disorder complicating pregnancy, amniotic fluid too much, fetal distress, neonatal asphyxia, and cesarean section were significantly higher than those in normal pregnancy group（ P 〈 0.05）. So most of GDM pregnant patients selected cesarean section to complete pregnant. Conclusion Early diagnosis of GDM and control of blood glucose are the keys to decrease the maternal or neonatal complications.