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目的:回顾性研究妊娠期糖尿病产妇孕中晚期及新生儿并发症情况,以加深对妊娠期糖尿病的认识,完善孕期管理,避免或减少并发症的发生,保证母婴安全。方法:随机抽取2011年1月至2012年12月在我院住院生产的200名妊娠期糖尿病产妇,其中在我院产检并接受管理的产妇138例为观察组,没有经过我院糖尿病管理的62例产妇为对照组,分析两组并发症发生情况。结果:观察组中51例产妇发生并发症(37.0%),新生儿21例(占15.2%);对照组中产妇发生并发症50例(占80.6%),新生儿23例(占37.1%),经糖尿病管理和治疗的观察组孕产妇出现的并发症明显比没有经过管理的对照组孕产妇出现的并发症少(如妊娠期高血压疾病、产后感染、酮症酸中毒、羊水过多、早产、巨大儿、低出生体重儿、死胎、畸形、呼吸窘迫综合征等),结果具有统计学意义。结论:需要重视妊娠期糖尿病,加强妊娠期糖尿病孕期管理是减少妊娠期糖尿病并发症的有效措施。
OBJECTIVE: To retrospectively study the complications of second trimester of pregnancy and neonatal complications of gestational diabetes mellitus in order to deepen the understanding of gestational diabetes, improve pregnancy management, avoid or reduce complications and ensure the safety of mother and infant. Methods: A total of 200 pregnant women with gestational diabetes who were hospitalized in our hospital from January 2011 to December 2012 were randomly selected. Among them, 138 were maternal birth control and maternity management in our hospital, and were not underwent management of diabetes mellitus in our hospital Cases of maternal control group, analysis of the incidence of complications in both groups. Results: 51 cases of maternal complications (37.0%) and 21 cases of newborns (15.2%) were observed in the observation group. There were 50 maternal complications (80.6%) and 23 newborns (37.1%) in the control group , Complications observed in the management and treatment of diabetes mellitus group were significantly less than those in the unmanaged control group (such as hypertensive disorder complicating pregnancy, postpartum infection, ketoacidosis, polyhydramnios, Preterm birth, macrosomia, low birth weight infants, stillbirth, deformity, respiratory distress syndrome, etc.). The results were statistically significant. Conclusion: It is necessary to pay attention to gestational diabetes mellitus, to strengthen the management of gestational diabetes during pregnancy is an effective measure to reduce the complications of gestational diabetes.