论文部分内容阅读
目的探讨早期筛查和干预对妊娠期糖尿病(GDM)妊娠结局的影响。方法对2011年7月至2013年1月在本院围保门诊检查,孕前未发现糖尿病的孕妇进行糖尿病筛查。将24～28周筛查出的GDM孕妇69例作为A组,同期34周以后筛查出的GDM孕妇50例作为B组,确诊后进行规范治疗,比较2组孕妇的妊娠结局和新生儿经局。结果早期筛查干预组的妊娠期高血压、胎儿宫内窘迫、剖宫产率、足月产率、新生儿窒息、早产儿、巨大儿、围产儿死亡率均低于晚期筛查干预组,两组差异有统计学意义。结论妊娠期糖尿病早期筛查及规范治疗可大大减少母婴并发症的发生,明显改善妊娠结局。
Objective To investigate the effect of early screening and intervention on gestational diabetes mellitus (GDM) pregnancy outcome. Methods From July 2011 to January 2013 in our hospital ambush inspection, pregnant women without diabetes before screening for diabetes screening. 69 cases of GDM pregnant women screened from 24 to 28 weeks as group A, 50 cases of GDM pregnant women screened out after 34 weeks of the same period as group B, after diagnosis and treatment, the pregnancy outcomes and the newborns Bureau. Results The rates of gestational hypertension, fetal distress, cesarean section rate, term birth rate, neonatal asphyxia, premature infant, macrosomia and perinatal mortality in the early screening intervention group were all lower than those in the late screening intervention group, The difference between the two groups was statistically significant. Conclusion Early screening and standardized treatment of gestational diabetes mellitus can greatly reduce the incidence of maternal and infant complications, significantly improve the pregnancy outcome.