妊娠期糖尿病的早期诊断与及对母儿预后的影响探讨

Study on Early Diagnosis of Gestational Diabetes and Effect on the Maternal and Infant Prognosis

目的观察并探讨妊娠期糖尿病的早期诊断与治疗对母儿预后影响的临床效果。方法方便选取该院2016年10月—2017年10月期间收治的124例妊娠期糖尿病患者,将在该院进行孕期检查并检出妊娠期糖尿病患者作为实验组(62例患者),将未进行孕期血糖检查但在该院分娩前或者因病就诊而检出妊娠期糖尿病的患者作为对照组(62例),对两组患者妊娠期早产发生率、高血压疾病发生率及两组围生儿呼吸窘迫综合症、低血糖、巨大儿、新生儿窒息及新生儿严重畸形多种并发症发生率给予观察与比较。结果实验组患者妊娠期早产发生率、高血压疾病发生率分别为8.06%(5/62)、6.45%(4/62),对照组患者妊娠期早产发生率、高血压疾病发生率分别为38.71%(24/62)、35.48%(22/62),实验组患者妊娠期早产发生率、高血压疾病发生率显著低于对照组,差异有统计学意义(P<0.05)。实验组围生儿呼吸窘迫综合症、低血糖、巨大儿、新生儿窒息及新生儿严重畸形多种并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论早期诊断并治疗妊娠期糖尿病患者能够有效预防母儿并发症发生具有显著的临床效果,提高了母儿的生存质量及生活质量,值得在临床上推广应用。

Objective To observe and study the early diagnosis of gestational diabetes and effect on the maternal and infant prognosis.Methods 124 cases of patients with gestational diabetes admitted and treated in our hospital from October 2016 to October 2017 were convenient selected and divided into two groups with 62 cases in each,the experimental group were the patients with gestational diabetes after the examination during pregnancy in our hospital,while the control group were the patients with gestational diabetes for blood glucose examination during pregnancy before delivery or diagnosis of diseases,and the incidence rate of premature delivery,incidence rate of hypertension,incidence rate of complications were compared between the two groups.Results The incidence rates of premature labor during pregnancy and hypertension in the experimental group were obviously lower than those in the control group[8.06%(5/62),6.45%(4/62)vs 38.71%(24/62),35.48%(22/62)],and the differences were statistically significant,and the incidence rate of complications such as respiratory distress syndrome,hypoglycemia,giant baby,asphyxia neonatorum and severe malformation was obviously lower than that in the control group,and the difference was obvious with statistical significance(P<0.05).Conclusion The early diagnosis and treatment of patients with gestational diabetes can effectively prevent the maternal and infant complications,and improve the survival quality and quality of life of mothers and infants,and it is worth clinical promotion and application.