妊娠期糖尿病256例临床观察与分析

目的分析妊娠期糖尿病(GDM)者妊娠、围生儿情况,提高对妊娠期糖尿病的认识,减少母婴并发症,提高产科质量。方法选择2009年7月-2011年12月东莞市石碣医院确诊为GDM的患者256例,将其中进行早期干预血糖控制良好的184例作为干预组,将初诊时已为孕中、晚期,血糖情况不佳的72例作为观察组,并选取同期120例正常妊娠孕妇为对照组。3组同时对3个组别进行妊娠、围生儿情况观察,对比分析3组孕妇的妊娠结局及母婴并发症。结果干预组与对照组相比,在妊娠情况和围生儿情况上,差异无统计学意义(P>0.05);观察组与对照组相比,差异均有统计学意义(P<0.05)。结论 GDM对孕妇、胎儿危害性较大。早期诊断和干预治疗可减少妊娠期并发症及围产儿并发症,利于母婴安全。

Objective To observate and analysis of gestational diabetes mellitus （ GDM ） of pregnancy and perinatal conditions,and to enhance the understanding of the disease,reduce the maternal complications and improve the quality of obstetric.Methods From July 2009 to December 2011 256 patients diagnosed with GDM,the early intervention of good glycemic control as the intervention group 184 cases,the timing for pregnancy, advanced, glucose circumstance of 72 cases as the observation group, and selected 120 cases of normal pregnancy group during the same period. The three groups of pregnancy, perinatal observation,compared and analysised of three groups of pregnant women pregnancy outcomes and maternal complications.Results The intervention group compared with the control group, in case of pregnancy and perinatal conditions, the difference was not statistically significant （P〉0.05）;The observation group compared with the control group, the difference was statistically significant （P〈0.05）. Conclusion GDM on pregnant women, fetuses are more harmful.Early diagnosis and intervention treatment can reduce complications of pregnancy and perinatal complications, conducive to safety.