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目的探讨系统化管理对妊娠糖尿病母婴结局的影响。方法 128例妊娠期糖尿病孕妇随机分为观察组及对照组,各64例。观察组行系统化综合管理措施;对照组给予普通管理。观察两组疗效。结果观察组产后患显性糖尿病有7例,发病率10.9%,而未经过孕期系统化管理的对照组有45例患病,发病率70.3%;对照组的发病率明显高于观察组,差异具有统计学意义(P<0.05)。观察组孕妇出现剖宫产、妊娠高血压综合征、感染、羊水过多、早产、死胎的病例明显少于对照组,胎儿的新生儿低血糖、畸形、红细胞增多症也显著少于对照组,差异有统计学意义(P<0.05)。结论加强孕期系统化管理,不仅能够明显降低妊娠期糖尿病所引发的孕期、生产、产后对孕妇的不良影响,还能改善围生儿的生存质量。
Objective To explore the impact of systematic management on the outcome of maternal and infant diabetes in gestational diabetes. Methods 128 pregnant women with gestational diabetes mellitus were randomly divided into observation group and control group, with 64 cases each. The observation group systematically integrated management measures; the control group was given general management. The two groups were observed. Results In the observation group, there were 7 cases of dominant diabetes mellitus, the incidence rate was 10.9%, while 45 cases were not systematically controlled during pregnancy, the incidence rate was 70.3%. The incidence of the control group was significantly higher than that of the observation group Statistically significant (P <0.05). The incidence of cesarean section, pregnancy-induced hypertension syndrome, infection, polyhydramnios, preterm birth and stillbirth in the observation group were significantly less than those in the control group. The neonatal hypoglycemia, deformity and polycythemia were also significantly less in the observation group than those in the control group. The difference was statistically significant (P <0.05). Conclusion Strengthening the systematic management of pregnancy can not only significantly reduce the adverse effects of gestational diabetes during pregnancy, production and postpartum on pregnant women, but also improve the quality of life of perinatal children.