糖尿病“一日”门诊对妊娠期糖尿病的孕期管理

Diabetes “Day” Outpatient Management of Gestational Diabetes During Pregnancy

目的 分析妊娠期糖尿病“一日”门诊对患者妊娠结局的影响。方法 选取2013年3月~2014年3月来我院产科门诊早孕建卡468例孕妇,妊娠24~28周进行糖耐量试验诊断妊娠期糖尿病102例设为治疗组,其余为对照组,治疗组给予糖尿病“一日”门诊饮食管理加运动指导,对照组给予正常孕期管理,分析两组孕期情况。结果 两组孕妇体重增长,宫底高度、子痫前期、羊水过多、剖宫产等方面存在统计学意义（P〈0.05）。新生儿病率方面有统计学意义（P〈0.05）。结论 对妊娠期糖尿病采取“一日”门诊饮食管理及运动指导,妊娠期糖尿病得到有效控制。

Objective Analysis of gestational diabetes ＂day＂ Impact clinic patients pregnancy outcome. Methods Selected from March 2013 to March 2014 in our hospital maternity clinic built card 468 cases of pregnant women in early pregnancy,24 ~ 28 weeks of pregnancy tolerance test to diagnose gestational diabetes treated 102 cases,the rest of the control group,the treatment group received diabetes ＂day＂ outpatient dietary management and exercise guidance,control group received normal pregnancy management,analysis groups during pregnancy situation. Results Two maternal weight gain,there were a statistically significant fundal height,preeclampsia,polyhydramnios,and other aspects of cesarean section（P 0.05）. Neonatal morbidity rate was statistically significant（P 0.05）. Conclusion Gestational diabetes take ＂day＂ outpatient dietary management and exercise guidance,gestational diabetes has been effectively controlled,large primary hospitals.