妊娠糖尿病全程规范化治疗对母婴预后的影响

Effect of full standardized treatment of gestational diabetes on maternal and infant prognosis

目的:研究妊娠糖尿病全程规范化治疗对母婴预后的影响。方法:确诊妊娠糖尿病180例作为治疗组,实施全程规范化治疗(个体化饮食指导、运动和药物治疗);选取同期产检的正常孕妇180例作为对照组,对2组患者分娩方式、并发症和母婴结局进行比较研究。结果:治疗组孕妇羊水过多发生率显著高于对照组,经治疗后空腹血糖、餐后1小时、2小时血糖较治疗前显著下降(P<0.05)。治疗组的分娩方式、并发症发生率以及新生儿结局与对照组无差异(P>0.05)。结论:妊娠糖尿病全程规范化治疗能够有效降低母婴不良结局的发生,值得临床推广应用。

[Objective] To explore the Effect of Full Standardized Treatment of Gestational Diabetes on Maternal and Infant Prognosis. [Method]180 cases of gestational diabetes mellitus were treated as the treatment group with the whole course of standard treatment( diet,exercise and drug treatment),whille 180 cases of normal pregnant women were selected as the control group. The delivery mode,complication and maternal-infant outcomes of the two groups were compared. [Result] The incidence of amniotic fluid in the treatment group was significantly higher than that in the control group,after treatment,fasting blood glucose,postprandial 1 hour,2 hours after the treatment of blood glucose decreased significantly( P < 0. 05). The mode of delivery,complications in the treatment group and the incidence of neonatal outcomes and control group showed no significant difference( P > 0. 05). [Conclusion]The whole course standardized treatment of gestational diabetes mellitus can effectively reduce the occurrence of maternal adverse outcomes. It is worthy of clinical application.