妊娠期糖尿病早期干预对母婴结局的影响及预防感染措施

Influence of early intervention in gestational diabetes on infection prevention

目的观察妊娠期糖尿病(GDM)早期干预对母婴结局的影响。方法 240例GDM患者随机分为干预组和未干预组各120例,两组均采用饮食控制和必要的护理,干预组额外给予胰岛素。结果两组引产术和剖宫产发生率比较差异无统计学意义,干预组的子痫前期和蛋白尿症的发生率明显低于未干预组,差异有统计学意义(P<0.05);干预组的体重明显增加,两组胎儿畸形和呼吸窘迫发生率比较差异无统计学意义,干预组的巨大儿、黄疸症、早产儿发生率明显低于未干预组,差异有统计学意义(P<0.05);干预组的低血糖发生率明显高于未干预组(P<0.05)。结论妊娠期糖尿病早期采用胰岛素干预,可以明显改善母婴结局,但应警惕体重增加和低血糖事件的出现。

OBJECTIVE To observe the effectiveness of early intervention and outcomes influence on gestational diabetes（GDM）. METHODS A total of 120 cases of patients were randomly divided into GDM intervention group and the 120 patients without intervention group,both groups using diet control and the necessary nursing. RESULTS Two groups of induced labor art and cesarean section rate comparative differences was statistically significant（P〉0.05）,intervention group preeclamia the incidence of disease and proteinuria obviously lower than the difference,without intervention group was statistically significant（P〈0.05）.Intervention group weight increased significantly.Two groups of fetal malformation and respiratory distress incidence comparative differences was statistically significant（P〉0.05）,intervention group huge son,icteric disease,premature significantly lower incidence of intervention group,not a statistically significant difference（P〈0.05）.Intervention group did not significantly higher incidence of hypoglycemia intervention group（P〈0.05）. CONCLUSION Gestational diabetes early adopters interventions can obviously improve insulin and outcomes,but should be vigilant the weight gain and hypoglycemia events to appear.