早期保健对妊娠期糖尿病患者产前情况和母婴结局的影响

Effects of early health care on prenatal status, maternal and infant outcomes in patients with gestational diabetes mellitus

目的探讨早期保健对妊娠期糖尿病(GDM)患者产前情况和分娩结局的影响。方法将我院120例GDM患者依照入院顺序分为试验组和常规组,每组60例。试验组采取综合性的早期保健,常规组未采取产前保健。比较两组患者的产前情况与母婴结局。结果与常规组比较,试验组妊娠期高血压、剖宫产、产后出血及产后感染的发生率明显更低(P<0.05);试验组早产儿、胎儿窘迫及巨大儿发生率明显低于常规组(P<0.05);两组新生儿窒息发生率比较,差异无统计学意义(P>0.05)。结论对GDM患者采取早期保健措施,可有效改善产前情况与母婴结局。

Objective To investigate the effects of early health care on prenatal status, maternal and infant outcomesin patients with gestational diabetes mellitus （GDM）. Methods A total of 120 GDM patients in our hospital were dividedinto experimental group and routine group according to the admission sequence, with 60 cases in each group. Theexperimental group was given early health care, while the routine group didn＇t give early health care. The prenatal status,maternal and infant outcomes were compared between the two groups. Results Compared with the routine group, the ratesof hypertension complicating pregnancy, cesarean section, postpartum hemorrhage and postpartum infection in theexperimental group were lower（P〈0.05）. The rates of premature, fetal distress and macrosomia in the experimental groupwere lower than those in the routine group（P〈0.05）. There was no significant difference in asphyxia neonatorum betweenthe two groups （P〉0.05）. Conclusion Early health care in patients with GDM can effectively improve the prenatal status,maternal and infant outcomes.