妊娠期糖尿病不同治疗时机对母婴预后的临床研究

Clinical research of influence of different treatment timing in gestational diabetes on prognosis of maternal and infant

目的探讨妊娠期糖尿病不同治疗时机对母婴预后的临床观察。方法回顾性分析本院2010年1月～2012年1月住院分娩的76例妊娠期糖尿病患者,其中48例在孕中期确诊为妊娠期糖尿病并给予治疗,28例未行孕期保健或孕中期血糖筛查,于孕34周后住院确诊妊娠期糖尿病,将两组的妊娠结局进行比较。结果妊娠期糖尿病孕34周前治疗组中妊娠期高血压疾病、羊水过多、伤口感染、早产儿、新生儿窒息、巨大儿分别为14.6%、6.3%、4.2%、16.7%、4.2%、10.4%,均低于34周后治疗组,分别为21.4%、17.9%、14.3%、21.4%、7.1%、10.7%。结论妊娠期糖尿病对母婴危害大,及早诊断和治疗,可减少母婴并发症。

Objective To explore the influence of different treatment timing in gestational diabetes on prognosis of maternal and infant. Methods Six cases of delivery patients with gestational diabetes in our hospital from January 2010 to January 2012 were analyzed retrospectively, among whom 48 cases were diagnosed with with gestational diabetes in the second trimester of pregnancy and given treatment, 28 cases did not carry out prenatal care or blood glucose screening in the second trimester of pregnancy, who were diagnosed with gestational diabetes after 34 weeks of pregnancy. The pregnancy outcomes between the two groups were compared. Results The incidence of hypertensive disorder complicating pregnancy, hydramnion, wound infection, premature infant, asphyxia neonatorum, macrosomia were 14.6%, 6.3%, 4.2%, 16.7%, 4.2%, 10.4% respectively in the gestational diabetes treatment group before 34 weeks of pregnancy, which were lower than 21.4%, 17.9%, 14.3%, 21.4%, 7.1%, 10.7% in the gestational diabetes treatment group after 34 weeks of pregnancy. Conclusion Gestational diabetes is harm for maternal and infants. Early diagnosis and treatment can reduce complications of maternal and infants.