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目的探讨糖耐量受损(G IGT)的干预对母儿围产结局的影响。方法收集2004年1月—2007年6月在我院诊治的糖耐量受损的孕妇116例,其中51例接受糖尿病饮食控制,胰岛素治疗(干预组);65例未给予处理(未干预组),对两组母儿围产结局进行分析。结果干预组孕妇妊娠期高血压病发生率10.71%低于未干预组18.63%(P<0.05),差异有显著性。羊水过多干预组发生率7.00%低于未干预族24.60%差异有显著性(P<0.05)。巨大儿发生率干预组14.29%低于未干预组24.60%,差异有显著性(P<0.05)。结论对糖耐量受损的孕妇进行积极干预可降低母儿围产病率的发生。
Objective To investigate the effect of impaired glucose tolerance (G IGT) on perinatal outcome. Methods Totally 116 pregnant women with impaired glucose tolerance who were diagnosed and treated in our hospital from January 2004 to June 2007 were enrolled in this study. Among them, 51 patients received diabetes diet control and insulin therapy (intervention group); 65 patients did not receive treatment (non-intervention group) , Analysis of the two groups of perinatal outcomes. Results The incidence of gestational hypertension in pregnant women in intervention group was 10.71% lower than that in non-intervention group (18.63%, P <0.05), and the difference was significant. The incidence of polyhydramnios in intervention group was 7.00%, which was significantly lower than that in non-intervention group (24.60%) (P <0.05). The incidence of macrosomia in 14.29% of the intervention group was lower than that in the non-intervention group of 24.60%, the difference was significant (P <0.05). Conclusion Positive intervention in pregnant women with impaired glucose tolerance can reduce the incidence of maternal perinatal morbidity.