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目的探讨妊娠期糖尿病(GDM)诊断与治疗方法。方法对2012年1—12月衢州市妇幼保健院门诊建卡的2 388名孕妇进行葡萄糖耐量实验(OGTT)筛查,根据结果分为糖尿病组和对照组,比较两组分娩情况;再按血糖控制情况将糖尿病组分为血糖控制正常组和未正常组,比较两组分娩方式及新生儿并发症发生情况。结果 GDM发生率与孕期体重指数相关;糖尿病组与对照组孕妇剖宫产率分别为57.56%和47.79%,两者差异有统计学意义(P<0.05);血糖控制正常组的新生儿并发症发生率14.97%,明显低于血糖未控制正常组的46.15%(P<0.05),新生儿并发症发生率与血搪控制情况有直接关系。结论 GDM对母儿的影响与血糖控制水平密切相关,因此及时做好妊娠期糖尿病筛查,早期诊断并综合规范治疗,能明显减少母儿并发症发生。
Objective To investigate the diagnosis and treatment of gestational diabetes mellitus (GDM). Methods A total of 2 388 pregnant women in Quzhou Maternal and Child Health Care Hospital from January to December 2012 were enrolled in this study. Their glucose tolerance test (OGTT) screening was performed. According to the results, they were divided into diabetic group and control group. Control the diabetic group was divided into normal glucose control group and non-normal group, delivery mode and neonatal complications between the two groups were compared. Results The incidence of GDM was correlated with body mass index (BMI) during pregnancy. Cesarean section rates in pregnant women with diabetes mellitus and controls were 57.56% and 47.79%, respectively, with significant difference (P <0.05). Neonatal complication The incidence rate was 14.97%, which was significantly lower than 46.15% (P <0.05) of the control group without blood sugar. The incidence of neonatal complications was directly related to the control of blood-borne. Conclusion The effect of GDM on maternal and childbirth is closely related to the level of blood sugar control. Therefore, timely screening of gestational diabetes and early diagnosis and comprehensive standard treatment can significantly reduce the incidence of maternal and child complications.