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目的探讨妊娠期糖尿病(GDM)的筛查、诊断与妊娠期管理。方法选择2015年4月-2016年4月玉环县妇幼保健所收治的378例GDM孕妇为研究组,同期该院384例非GDM孕妇为对照组。回顾性分析GDM孕妇确诊方式,对GDM孕妇进行饮食控制、运动锻炼、药物治疗和妊娠期检测等多方面综合性管理的结局进行统计分析。结果 372例(98.41%)孕妇通过OGTT检测确诊GDM。对GDM孕妇进行相关知识普及后,大幅度增加GDM孕妇对糖尿病的知识及其危害,结合科学饮食、适当的运动锻炼和药物治疗,患者血糖基本能达到理想水平。结论对GDM孕妇进行多方面综合性妊娠期管理能够使患者正确认知疾病、遵守医嘱,改善GDM妊娠结局。
Objective To investigate the screening, diagnosis and gestation management of gestational diabetes mellitus (GDM). Methods 378 cases of GDM pregnant women who were treated in Yuhuan MCH in April 2015-April 2016 were selected as the research group and 384 non-GDM pregnant women in the same period as the control group. A retrospective analysis of the diagnosis of GDM pregnant women, GDM pregnant women diet control, exercise, drug treatment and pregnancy testing and many other comprehensive management of the outcome of the statistical analysis. Results 372 pregnant women (98.41%) confirmed GDM by OGTT. Relevant knowledge about GDM pregnant women is popularized, which greatly increases the knowledge and harm of diabetes for pregnant women with GDM. Combined with scientific diet, proper exercise and drug therapy, the blood glucose of patients with GDM can reach the ideal level. Conclusions Comprehensive multi-pronatal management of pregnant women with GDM can make patients correctly recognize the disease, obey the doctor’s advice and improve the pregnancy outcome of GDM.