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目的:探讨妊娠期糖尿病(GDM)规范化治疗对妊娠结局的影响。方法:选择富阳市妇幼保健院128例GDM孕妇应用饮食、运动、药物等规范化治疗为治疗组,同期住院分娩的正常孕妇130例为对照组,对妊娠结局进行比较。结果:规范化治疗后GDM孕妇的空腹血糖(FPG)、餐后2小时血糖(2hPG)显著下降;母婴患病率与对照组差异无统计学意义(P>0.05);空腹血糖在4.0~4.8mmol/L、餐后2h血糖在4.8~7.0mmol/L、糖化血红蛋白在5%~6.2%范围内GDM母婴患病率最低。结论:早发现、早规范化治疗,可促进GDM母儿的良好结局。
Objective: To investigate the effect of standardized treatment of gestational diabetes (GDM) on pregnancy outcome. Methods: 128 pregnant women with GDM in Fuyang MCH hospital were enrolled in this study. Normalized diet, exercise and drugs were used as the treatment group. 130 pregnant women undergoing hospital delivery during the same period were selected as the control group. Pregnancy outcomes were compared. Results: The fasting plasma glucose (FPG) and 2h postprandial plasma glucose (2hPG) in normal pregnant women were significantly decreased. There was no significant difference between the two groups (P> 0.05) mmol / L, postprandial blood glucose 2h 4.8 ~ 7.0mmol / L, glycosylated hemoglobin in the range of 5% to 6.2% GDM maternal and infant prevalence was the lowest. Conclusion: Early detection and early standardization of treatment can promote the good outcomes of GDM maternal and child.