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目的探讨孕期保健对妊娠糖尿病(GDM)影响关系。方法对2005年1月~2010年12月在我院门诊及住院1327例产前检查进行妊娠糖尿病(GDM)监测其孕期及住院分娩的情况。结果本组选取的1327例孕妇经50克糖筛查(GCT)之后,发现有139例≥7.8MMOL/L,筛查:1例尿糖呈阳性;2例有多尿、多饮、多食症状病史,3例有死胎史,9例有自然流产史。60例口服葡萄糖耐量异常孕妇中有1例死胎,2例早产,4例新生儿窒息,18例胎儿窘迫,9例新生儿低血糖,5例产后出血,7例妊高征,9例巨大胎儿,5例胎盘早剥。有14例未控制饮食且口服葡萄糖耐量试验异常者,有57.1%(8例)出现巨大胎儿;4例降糖药物治疗+控制饮食的没有出现1例巨大胎儿,42例实施控制饮食,有11.9%(5例)出现巨大胎儿。60例OGTT异常孕妇的分娩方式:31.6%(19例)采用自然分娩,6.67%(4例)采用会阴侧剪;61.67%(37例)采用剖腹产。结论尽量进行妊娠期糖尿病筛查,能够做到早期治疗、早期诊断、早期筛查,能够对母婴进行有效地预后,值得临床中应用。
Objective To explore the relationship between gestational health and gestational diabetes mellitus (GDM). Methods From January 2005 to December 2010, 1327 prenatal visits in our hospital and hospitalized for gestational diabetes mellitus (GDM) were monitored during pregnancy and hospital delivery. Results 1327 pregnant women selected by this group after 50 grams of sugar screening (GCT), found that 139 cases ≥ 7.8MMOL / L, screening: 1 urine sugar positive; 2 cases of polyuria, polydipsia, more food Symptom history, 3 cases of a stillbirth history, 9 cases of spontaneous abortion history. One of the 60 pregnant women with oral glucose tolerance abnormalities had 1 stillbirth, 2 premature births, 4 neonatal asphyxia, 18 fetal distress, 9 neonatal hypoglycemia, 5 postpartum hemorrhage, 7 PIH and 9 macrosomia , 5 cases of placental abruption. Fourteen uncontrolled diets and oral glucose tolerance test were abnormal in 57.1% (8 patients) with macrosomia fetus; 4 cases of hypoglycemic drug therapy + control diet did not appear in 1 case of macrosomia, 42 cases of controlled diet, 11.9 % (5 cases) appeared huge fetus. Sixty pregnant women with OGTT abnormal delivery methods were 31.6% (19 cases) with spontaneous delivery, 6.67% (4 cases) with episiotomy and 61.67% (37 cases) with cesarean section. Conclusion As far as possible screening for gestational diabetes mellitus, early treatment, early diagnosis and early screening can be done, which can effectively predict the mothers and infants, which is worthy of clinical application.