论文部分内容阅读
目的:探讨妊娠期糖尿病筛查及对孕妇和围生儿的影响。方法:对进行产前检查并分娩的3928例孕妇分A、B、C组,A组为妊娠<16周,B组为妊娠24～28周,C组为妊振32～36周。对空腹血糖正常者进行糖耐量试验(OGTT),妊娠期糖耐量受损(GIGT)及妊娠期糖尿病(GDM)给予相应治疗,比较3组母儿结局的异同。结果:母儿患病率比较A、B组明显低于C组,差异有统计学意义(P<0.01)。结论:于妊娠28周前开展妊娠期糖尿病的筛查,对妊娠期糖代谢异常孕妇进行早期诊断、早期治疗可改善母儿预后。
Objective: To investigate the screening of gestational diabetes mellitus and its effects on pregnant women and perinatal children. Methods: A total of 3928 pregnant women undergoing prenatal examinations and giving birth were divided into groups A, B and C, group A was less than 16 weeks of gestation, group B was from 24 to 28 weeks of gestation, and group C was from 32 to 36 weeks of gestation. OGTT, GIGT and GDM were given to the patients with normal fasting glucose, and the similarities and differences between the three groups were compared. Results: The prevalence of maternal and child was significantly lower in group A and B than in group C (P <0.01). Conclusion: The screening of gestational diabetes before pregnancy 28 weeks, early diagnosis of abnormal glucose metabolism in pregnant women, early treatment can improve maternal prognosis.