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目的:研究妊娠期糖尿(GDM)的筛查方法,探讨妊娠期糖尿病的预防治疗措施,通过相关数据对比,得出结论。方法:2009年12月～2011年12月江阴市人民医院产科门诊3 450例孕妇GDM的筛查、统计,发现有200例诊断为GDM,发生率明显高于全国平均水平。将筛查出的GDM孕妇分为两组,1组100例依从性比较好,按医生要求进行饮食控制、运动、甚至药物治疗,定期复查血糖;2组100例依从性较差,不能配合医生指导治疗和随访;3组100例糖筛正常的孕妇。对3组孕妇的妊娠结局包括早产、死胎、子痫前期、巨大儿、胎儿生长受限几方面进行对比研究。结果:GDM孕妇的妊娠结局明显差于正常孕妇。结论:GDM对母婴的影响巨大,需认真对待,加强监护、随访、治疗尤为重要。
Objective: To study the screening method of gestational diabetes mellitus (GDM) and explore the preventive and therapeutic measures of gestational diabetes mellitus. By comparing the relevant data, the conclusion is drawn. Methods: From December 2009 to December 2011, screening and statistics of 3 450 pregnant women in obstetric clinic of Jiangyin People ’s Hospital, 200 cases were diagnosed as GDM, the incidence was significantly higher than the national average. The screening of GDM pregnant women were divided into two groups, a group of 100 patients compliance is better, according to the doctor dietary control, exercise, and even drug treatment, regular review of blood sugar; 2 group of 100 patients with poor compliance, can not cooperate with the doctor Guided treatment and follow-up; 3 groups of 100 normal sugar screening pregnant women. The pregnancy outcomes of 3 groups of pregnant women including premature delivery, stillbirth, preeclampsia, macrosomia and fetal growth restriction were compared. Results: The pregnancy outcome of GDM pregnant women was significantly worse than that of normal pregnant women. Conclusion: The effect of GDM on maternal and child health is huge and needs to be taken seriously. Intensive care, follow-up and treatment are especially important.