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目的探讨通过对糖尿病高危因素妇女孕前行50g糖筛查并予心理、饮食、运动及药物干预措施对降低妊娠期糖尿病发病率,减少糖尿病母儿并发症的作用。方法对2005年1月至2006年6月在我院妇产科门诊进行孕前检查的糖尿病高危妇女(A组),行50g糖筛查,阳性者,行75g糖耐量试验,并建卡登记,给予心理,运动,饮食,药物等干预措施,直至分娩。与同期在妊娠期行糖筛并开始管理的糖尿病高危孕妇(B组)就妊娠期糖尿病的发病率,妊娠结局进行对比。结果 A组妊娠期糖尿病发病率为4.2%,B组最终发展为妊娠期糖尿病发病率为10.5%,差异有统计学意义(P<0.05);A组母儿并发症较B组明显降低,差异有统计学意义。结论对糖尿病高危因素妇女孕前即行糖筛查及管理,可降低妊娠期糖尿病发病率,减少妊娠期糖尿病并发症。
Objective To explore the effect of screening 50g of sugar before pregnancy on the risk factors of diabetes in pregnant women to reduce the incidence of gestational diabetes mellitus and reduce the complications of diabetes and maternal in patients with psychological, diet, exercise and drug interventions. Methods From January 2005 to June 2006 in our hospital obstetrics and gynecology outpatient pre-pregnancy high-risk diabetic women (A group), 50g sugar screening, positive persons, 75g glucose tolerance test, and card registration, Give psychological, exercise, diet, drugs and other interventions until childbirth. Compared with the high-risk diabetic group (group B), who underwent glyco-screening during pregnancy and began to manage them, the incidence of gestational diabetes and pregnancy outcome were compared. Results The incidence of gestational diabetes in group A was 4.2% and that in group B was 10.5% in gestational period (P <0.05). The complication of mother and child in group A was significantly lower than that in group B, and the difference was significant There is statistical significance. Conclusion The risk factors for diabetes women before pregnancy that sugar screening and management can reduce the incidence of gestational diabetes, reduce complications of gestational diabetes.