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目的探讨孕期及时诊断糖尿病(GDM)、良好管理与母婴预后的关系。方法回顾性分析2000年7月~2004年7月80例在本院分娩的妊娠合并糖尿病(A组)与随机选择同期无发生糖尿病高危因素以及50 g葡萄糖负荷试验正常的孕妇100例(B组),就妊娠合并糖尿病的并发症:妊高征、产后出血、早产、感染、巨大儿、糖尿病酮症、羊水过多以及分娩时间与方式、围产儿情况作比较分析。结果仅有1/3的孕妇有患糖尿病的多饮、多食、多尿现象,50g葡萄糖负荷试验、100g葡萄糖耐量试验仍是筛选、诊断GDM主要手段;经过积极的治疗和监测,GDM的并发症中,除了早产明显高于对照组(P<0.05),其他和对照组相比差异均无统计学意义,巨大儿反而低于对照组(P<0.05)。有5例GDM的首发症状为妊高征。结论对GDM良好的孕期管理可明显改善母婴的预后。
Objective To explore the timely diagnosis of diabetes during pregnancy (GDM), good management and the relationship between mother and child prognosis. Methods From July 2000 to July 2004, 80 pregnant women with gestational diabetes mellitus (A group) who were delivered in our hospital and 100 pregnant women who were randomly selected to have no diabetes at the same period and 50 g glucose load test were retrospectively analyzed (group B ), The complication of pregnancy complicated with diabetes: pregnancy-induced hypertension, postpartum hemorrhage, premature delivery, infection, macrosomia, diabetic ketosis, polyhydramnios and time and mode of delivery, perinatal situation for comparative analysis. Results Only one-third of pregnant women with diabetes mellitus, polyphagia, polyuria phenomenon, 50g glucose load test, 100g glucose tolerance test is still screening, the main means of diagnosis of GDM; after active treatment and monitoring, GDM concurrent In addition, the preterm birth was significantly higher than that of the control group (P <0.05). There was no significant difference between the other groups and the control group (P <0.05). Five cases of GDM’s first symptom of pregnancy-induced hypertension. Conclusion The good pregnancy management of GDM can significantly improve the prognosis of maternal and infant.