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目的探讨母亲妊娠期糖尿病的婴儿(IDM)生长发育情况,为制定更为科学合理的儿童保健措施提供科学依据。方法对68例IDM进行了系统管理(IDM1组),与68例儿保科体检的正常婴儿(对照组)及60例非系统管理IDM(IDM2组)进行了比较,观察其体格、智能发育及气质类型进行了随访。结果 IDM出生体重与母亲孕期血糖控制水平有关;IDM1组围生期总的并发症明显低IDM2组(P<0.05),至1岁时体格发育达标率及智能发育均高于IDM2组(P<0.01)及与对照组近似;儿童1岁时气质评估无明显差异。结论 IDM母亲孕期控制血糖、婴儿出生后进行系统管理,可减少围生期并发症的发生及至儿童1岁时体格和智能发育接近正常儿;远期发育影响有待于进一步研究。
Objective To investigate the growth and development of mothers with gestational diabetes mellitus (IDM) and provide a scientific basis for making more scientific and reasonable child health care measures. Methods Sixty-eight IDMs were systematically administered (IDM1 group), compared with 68 infants (control group) and 60 non-systematic IDMs (IDM2 group) in physical examination. The physical, mental development and temperament Type was followed up. Results The birth weight of IDM was related to the level of glycemic control during pregnancy. The overall perinatal complications in IDM1 group were significantly lower than those in IDM2 group (P <0.05), and the rates of physical development compliance and intelligence development were higher in IDM1 group than in IDM2 group (P < 0.01) and similar to the control group; children 1 year old temperament assessment no significant difference. CONCLUSIONS: IDM mothers control blood sugar during pregnancy and babies are managed systematically after birth, which can reduce the incidence of perinatal complications and close to normal physical and mental development at 1 year of age. The long-term development needs further study.