【摘要】 目的：探讨妊娠期患者预防糖尿病的措施。方法：以25例妊娠期糖尿病患者作为研究组，非妊娠期糖尿病患者30例作为对照组。用χ2检验。结果：对孕妇影响及新生儿影响方面，研究组与对照组比较，有高度显著性差异(P<0.01)。结论：提示妊娠期糖尿病的母婴并发症明显增加。进行糖尿病筛查,及时发现妊娠期糖尿病,较好控制血糖,加强围生期妊娠期糖尿病孕妇的管理,可降低妊娠期糖尿病母婴的并发症和降低剖宫产率。
【关键词】 糖尿病;妊娠期;预后
Gestational diabetes mellitus: a clinical analysis of 25 cases
TANG Liping
(Department of Obstetrics and Gynecology, Maternity and Children Health Care Hospital, Qiongshan District, Haikou 571100, China)
[ABSTRACT] Objective: To investigate the preventive measures against gestational diabetes mellitus (GDM). Methods: A total of 25 GDM patients were employed as the trial group, 30 patients with diabetes mellitus but not during the pregnancy were employed as the control group. Clinical data from the two groups were analyzed retrospectively; Chisquare test was used. Results: The influence of GDM on the pregnant women and newborns in the trial group was significantly higher than that in the control group (P<0.01). Conclusion: GDM may increase the complications of mothers and newborns significantly. Diabetes screening for the timely detection of gestational diabetes mellitus, better control of blood glucose, and perinatal GDM management of pregnant women can reduce complications of mothers and newborns due to GDM and reduce the rate of cesarean section as well.
[KEY WORDS] Diabetes mellitus; Pregnancy; Prognosis
妊娠期糖尿病(gestational diabetes mellitus，GDM)是指妊娠期间发生或被识别的不同程度的糖耐量降低,并不排除妊娠前已发生糖耐量异常的病例[1]。各国发生率不同，为1%～14%[2]。GDM 属于高危妊娠,对母婴影响严重，可致胎死宫内,并且胎儿畸形的发生率达4 %～12.9 %[3]，本文对我院2007年1～12 月收治的25例GDM患者临床资料进行回顾性分析, 探讨妊娠期糖尿病对母婴的影响。现报道如下。
1 资料与方法
1.1 一般资料
收集2007年1月～12月我院收治确诊为GDM的孕产妇患者总计25例。年龄26～39岁,平均(28.3±2.1)岁。其中，初产妇17例，经产妇8例。随机选择同期无GDM的孕产妇30例为对照组,年龄22～37岁,平均年龄(27.1±3.84)岁。
1.2 诊断标准
妊娠期2次或2次以上空腹血糖≥5.8 mmol/L或空腹口服75 g葡萄糖，在空腹、服糖后1，2，3 h血糖分别有2次达到或超过5.6 mmol/L、10.5 mmol/L、9.2 mmol/L、8.1 mmol/L[2]，则诊断为GDM。
1.3 方法
对25例GDM 患者和3
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