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目的:探讨妊娠期糖尿病筛查与干预对围产结局的影响。方法:选择已确诊的妊娠期糖尿病患者104例,按孕期未进行管理35例为对照组即A组(入院及诊断较迟),已系统干预的69例为观察组即B组,分析其临床资料进行统计学处理。结果:A组围产病率明显高于B组;妊娠期高血压疾病(2χ=4.59,P<0.05)、巨大儿(2χ=4.15,P<0.05)、胎儿宫内窘迫(2χ=4.15,P<0.05)、新生儿窒息(2χ=4.78,P<0.05)均有明显的差异。结论:妊娠期糖尿病严重危害着母儿健康,妊娠期糖尿病系统化干预能有效地降低围产病率。
Objective: To investigate the influence of gestational diabetes screening and intervention on perinatal outcome. Methods: A total of 104 patients with gestational diabetes mellitus were selected. 35 cases were not controlled by pregnancy as group A (admission and diagnosis was delayed), and 69 cases who had been systematically interfered were observation group (group B) Data for statistical analysis. Results: The perinatal morbidity in group A was significantly higher than that in group B. The incidence of hypertensive disorders in pregnancy (2χ = 4.59, P <0.05), macrosomia (2χ = 4.15, P <0.05), neonatal asphyxia (2χ = 4.78, P <0.05) were significantly different. Conclusion: Gestational diabetes endangers maternal and child health seriously. Gestational diabetes mellitus can effectively reduce the rate of perinatal infection.