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目的:探讨妊娠期糖尿病(GDM)患者在孕期进行合理管理的意义。方法:在95例GDM患者中随机选择60例经规范化管理作为观察组,同期未经过合理管理的35例GDM患者作为未治组,同期分娩血糖正常的孕妇50例为对照组,比较3组母婴并发症的发生率。结果:观察组中46例(76.7%)经饮食控制与适当锻炼后血糖控制良好,5例需加用胰岛素治疗;其母婴并发症中除早产发病率及剖宫产率高于对照组(P<0.05)外,其他观察项目发生率与对照组比较差异无统计学意义(P>0.05)。未治组其母婴并发症各项均明显高于对照组(P<0.05)。结论:加强妊娠期糖尿病的管理,可有效减少母婴并发症的发生,甚至接近正常孕妇水平。
Objective: To explore the significance of rational management of gestational diabetes mellitus (GDM) during pregnancy. Methods: A total of 95 GDM patients were randomly selected 60 cases of standardized management as the observation group over the same period without reasonable management of 35 cases of GDM patients as the control group, 50 cases of pregnant women with normal blood glucose as the control group, compared with three groups of mother The incidence of infant complications. Results: In the observation group, 46 patients (76.7%) had good glycemic control after dietary control and appropriate exercise, and 5 patients needed insulin therapy. The morbidity and incidence of preterm birth and cesarean section in maternal and infant complication were higher than those in control group P <0.05), the incidence of other observation items compared with the control group showed no significant difference (P> 0.05). The uncomplicated group of maternal and child complications were significantly higher than the control group (P <0.05). Conclusion: To strengthen the management of gestational diabetes, can effectively reduce the incidence of maternal and infant complications, and even close to the normal level of pregnant women.