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目的:探讨不同治疗方法对妊娠期糖尿病(GDM)患者的治疗对母婴的临床影响。方法:随机选择我所产前门诊诊断为妊娠期糖尿病的患者146例,按随机非配的方式将患者分为A.B两组,A组70例采用饮食及运动治疗的方式进行治疗;B组76例采用药物治疗(胰岛素)。治疗结束后比较两组糖尿病患者血糖控制水平、孕产妇体征情况及胎婴儿各项情况等。结果:通过对两组患者治疗过程中采集的患者体征数据分析发现药物治疗(胰岛素)优于饮食及运动治疗,在血糖控制水平、孕产妇体征及胎婴儿各项情况等方面比较均具有统计学意义(P<0.05)。结论:药物(胰岛素)治疗妊娠期糖尿病,能够更好地控制孕产妇血糖,减少孕产妇及胎婴儿并发症。
Objective: To investigate the clinical effects of different treatment methods on gestational diabetes mellitus (GDM) in treatment of mothers and infants. Methods: A total of 146 patients with gestational diabetes mellitus diagnosed at our prenatal clinic were randomly selected. The patients were divided into two groups according to randomization and non-allocation, and 70 patients in group A were treated with diet and exercise therapy. Group B Cases of medication (insulin). After treatment, two groups of patients with diabetes mellitus control blood glucose levels, maternal physical status and fetal infants and other conditions. Results: Through the analysis of the patient’s vital signs collected during the course of treatment in both groups, it was found that medication (insulin) was better than diet and exercise therapy, and there was statistical significance in the control of blood glucose level, maternal signs and fetus and infants Significance (P <0.05). Conclusion: Drug (insulin) treatment of gestational diabetes, can better control the blood sugar of pregnant women, reduce maternal and fetal complications.