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目的研究加强妊娠期糖尿病筛查、管理对孕妇的围产结局的影响。方法对2010年10月至2012年10月安阳市妇幼保健院确诊的100例妊娠期糖耐量受损(GIGT)以及100例妊娠期糖尿病(GDM)患者的临床资料进行回顾性调查分析;对孕妇进行系统管理的为管理组,其中50例GIGT患者为管理A组,50例GDM患者为管理B组;怀孕期间未进行系统管理的为常规组,其中50例GIGT患者为常规A组,50例GDM患者为常规B组。对管理组和常规组妊娠结局进行比较。结果常规组的围产病率明显高于管理组,常规组A组、B组之间结果比较差异没有统计学意义(P>0.05)。结论加强妊娠期糖尿病筛查、管理对孕妇的围产结局影响较大,值得推广应用。
Objective To study the effects of screening and management of gestational diabetes mellitus on perinatal outcomes in pregnant women. Methods The clinical data of 100 cases of gestational impaired glucose tolerance (GIGT) and 100 cases of gestational diabetes mellitus (GDM) diagnosed in Anyang MCH from October 2010 to October 2012 were analyzed retrospectively. Among them, 50 patients with GIGT were management group A and 50 patients with GDM were management B. Patients without systemic management during pregnancy were regular group, 50 patients with GIGT were normal group A and 50 patients GDM patients for the conventional B group. Pregnancy outcomes were compared between the management and control groups. Results The perinatal rate was significantly higher in the conventional group than in the management group. There was no significant difference in the results between the two groups (P> 0.05). Conclusion To strengthen the screening of gestational diabetes mellitus, management of perinatal outcomes of pregnant women greater impact, it is worth promoting the application.