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【目的】评估早期干预妊娠糖尿病对改善新生儿并发症预后的影响。【方法】对干预组26例和对照组17例妊娠糖尿病产妇所生新生儿的并发症情况进行对比回顾性分析。【结果】干预组的巨大儿、高胆红素血症、红细胞增多症、新生儿窒息的发病率明显低于对照组,差异有统计学意义(P<0.05)。而两组新生儿的低血糖、低血钙、新生儿肺透明膜病的发生率亦低于对照组,但差异无统计学意义(P>0.05)。【结论】早期干预妊娠糖尿病十分重要,早诊断、早治疗可大大降低妊娠合并糖尿病对新生儿的不良影响。
【Objective】 To evaluate the effect of early gestational diabetes on the prognosis of neonatal complications. 【Methods】 A retrospective analysis was made on the complications of neonates born to gestational diabetes mellitus in 26 cases of intervention group and 17 cases of control group. 【Results】 The incidence of macrosomia, hyperbilirubinemia, polycythemia and neonatal asphyxia in the intervention group was significantly lower than that in the control group (P <0.05). The incidences of hypoglycemia, hypocalcemia and neonatal hyaline membrane disease in both groups were also lower than those in the control group, but the difference was not statistically significant (P> 0.05). 【Conclusion】 Early intervention of gestational diabetes is very important. Early diagnosis and early treatment can greatly reduce the adverse effects of pregnancy with diabetes on newborns.