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目的探讨妊娠期糖尿病(GDM)筛查、早期干预对母婴的影响。方法在本院2008年5月至2009年3月期间住院的90例GDM患者中,早期干预治疗、血糖控制满意的共68例作为A组,24～28周确诊但不配合饮食治疗或34周后确诊、血糖控制不满意的22例作为B组,80例正常妊娠者作为C组。对三组临床资料进行回顾性分析,并对三组的妊娠结局及母婴的影响进行比较。结果 A组妊娠期高血压疾病、羊水过多、胎儿生长受限、胎膜早破、剖宫产率、巨大儿、胎儿窘迫及围生儿死亡较B组明显下降,与C组结果基本一致,而B组明显高于C组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病的早期筛查、早期干预可改善妊娠结局,减少母儿并发症。
Objective To investigate the influence of gestational diabetes mellitus (GDM) screening and early intervention on maternal and infant. Methods Among 90 GDM patients hospitalized from May 2008 to March 2009 in our hospital, 68 patients with early intervention and satisfactory blood glucose control were enrolled in group A, 24 to 28 weeks were diagnosed but did not receive dietary therapy or 34 weeks After the diagnosis, blood glucose control is not satisfied in 22 cases as a group B, 80 cases of normal pregnancy as a group C. Three groups of clinical data were retrospectively analyzed, and the impact of the three groups of pregnancy outcomes and maternal and infant were compared. Results A group of hypertensive disorders of pregnancy, polyhydramnios, fetal growth restriction, premature rupture of membranes, cesarean section rate, macrosomia, fetal distress and perinatal mortality was significantly lower than the B group, and C group results were basically the same , While group B was significantly higher than group C, the difference was statistically significant (P <0.05). Conclusion Early screening of gestational diabetes mellitus, early intervention can improve pregnancy outcomes and reduce maternal and child complications.