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目的就妊娠期糖尿病筛查的临床意义进行探讨。方法选择我县妇幼保健院在2010年4月~2013年4月所进行的1 335例产前检查孕妇,采用50克糖筛查(GCT),其中有40例孕妇被诊断为妊娠期糖尿病(GDM)。结果孕妇年龄越长,发病率越高,具有较为明显的统计学差异。治疗组中围产儿健康人数为40例,围产儿死亡人数为0例;未治疗组中围产儿健康人数为11例,围产儿死亡人数为2例,其中1例为放弃治疗后死亡,1例是由于巨大儿难产死,具有较为明显的统计学差异。结论尽量进行妊娠期糖尿病筛查,能够做到早期治疗、早期诊断、早期筛查,能够对母婴进行有效地预后,能够避免由于新生儿死亡而给孕妇及其家属带来的巨大精神痛苦和理压力,提高孕妇围产期保健水平,大幅度降低孕产妇围产期并发症,值得在临床上大量应用。
Objective To investigate the clinical significance of gestational diabetes screening. Methods A total of 1 335 prenatal pregnant women in our county MCH from April 2010 to April 2013 were enrolled in this study. Fifty grams of sugar screening (GCT) was performed. Forty pregnant women were diagnosed as gestational diabetes mellitus ( GDM). Results The longer the pregnant women, the higher the incidence, with a more significant statistical difference. In the treatment group, there were 40 cases of perinatal health and 0 cases of perinatal death. Among the untreated group, 11 cases were perinatal healthy and 2 cases were perinatal. One case died after giving up treatment and 1 case Is due to a huge child died of labor, with a more significant statistical difference. Conclusion As far as possible screening for gestational diabetes can be early treatment, early diagnosis, early screening, can be effective in the mother and child prognosis, to avoid the neonatal death and pregnant women and their families caused tremendous mental anguish and Manage stress, improve perinatal health of pregnant women, significantly reduce the perinatal complications of pregnant women, it is worth a large number of clinical applications.