妊娠期糖尿病高危孕妇早期治疗的临床分析

Clinical Analysis of Early Treatment for Pregnant Women with High Risk of Gestational Diabetes

目的分析研究妊娠期糖尿病(GDM)高危孕妇的早期治疗对策与效果。方法选取2017年12月至2018年12月,我院收治的高危妊娠期糖尿病孕妇80例,将于怀孕28周之前开始实施早期干预治疗的40例作用研究组,将在孕期28周以后才开始的干预治疗的40例作用参照组,对两组患者的分娩方式、产妇及新生儿的并发症发生情况等指标进行对比研究。结果研究组产妇的自然分娩率、血压、血糖三项指标均明显优于参照组,P<0.05;且研究组产妇与新生儿的并发症发生率两项指标均明显低于参照组,P<0.05,差异显著。结论对于妊娠期糖尿病高危孕妇于孕期28周前的开始进行早期治疗可以降低新生儿与产妇的并发症发生率,改善母婴结局,临床应该给予积极推广。

Objective To analyze the early treatment strategies and effects of gestational diabetes mellitus(GDM)in high-risk pregnant women.Methods Selected during December 2017-December 2018,80 cases of gestational diabetes in high-risk pregnant women in our hospital,to begin in the 28 th week of pregnancy before the implementation of early intervention treatment of 40 cases work team,will start at 28 th week of pregnancy after the intervention treatment of 40 cases of control group,the two groups of patients’way of delivery,maternal and neonatal complications such as index.Results The natural delivery rate,blood pressure and blood glucose of the study group were significantly better than those of the control group,P<0.05.The incidence of complications in the study group was significantly lower than that in the control group,P<0.05,indicating a significant difference.Conclusion Early treatment of high-risk pregnant women with gestational diabetes before 28 weeks of pregnancy can reduce the incidence of neonatal and maternal complications and improve maternal and infant outcomes,which should be actively promoted in clinical practice.