论文部分内容阅读
目的 探讨妊娠期糖尿病 (GDM)治疗及分娩时机、方式的选择。方法 对 40例GDM患者进行前瞻性研究 ,运用统计学方法分析其临床资料。结果 胰岛素治疗辅以饮食疗法与单纯饮食疗法比较 ,对新生儿窒息的影响有显著性差异 (P <0 0 5 )。促胎儿成熟治疗组与对照组比较 ,新生儿病率明显下降 ,但缺乏统计学意义 (P >0 0 5 )。胎龄 <3 7周及 >40周与胎龄 3 7～ 40周比较 ,新生儿病率明显升高 (P <0 0 1)。剖宫产较之阴道分娩 ,新生儿窒息率明显下降 (P <0 0 5 )。结论 经饮食疗法血糖控制不佳者加用胰岛素治疗是必要的。孕 3 6周始行促胎肺成熟治疗可降低新生儿病率。分娩时间以妊娠 3 7～ 40周为宜。剖宫产对母儿相对安全。
Objective To explore the treatment of gestational diabetes mellitus (GDM) and the timing and mode of delivery. Methods Forty patients with GDM were prospectively studied, and their clinical data were analyzed by using statistical methods. Results Insulin treatment combined with diet therapy compared with diet alone, the impact of neonatal asphyxia were significantly different (P <0 05). Compared with the control group, the incidence of neonatal morbidity decreased significantly in the mature fetus treatment group, but there was no statistical significance (P> 0.05). The gestational age <37 weeks and> 40 weeks and gestational age 37 to 40 weeks, neonatal morbidity was significantly increased (P <0.01). Cesarean delivery than vaginal delivery, neonatal asphyxia decreased significantly (P <0 05). Conclusion Poor blood glucose control diet plus insulin therapy is necessary. Pregnancy 36 weeks to promote mature fetal lung can reduce neonatal morbidity. Delivery time to pregnancy 37 to 40 weeks is appropriate. Cesarean section is relatively safe for mother and child.