妊娠期糖尿病对母婴预后影响的临床研究
发布时间:2018-02-28 06:22
本文关键词: 妊娠 糖尿病 母婴预后 出处:《新疆医科大学》2014年硕士论文 论文类型:学位论文
【摘要】:目的:分析妊娠期糖尿病对母婴预后的影响。方法:采用回顾性分析方法对2012年9月~2013年9月在新疆医科大学第一附属医院确诊为妊娠期糖尿病,住院分娩资料完整的妊娠期糖尿病孕妇(A组:即妊娠期糖尿病组)60例,及同期随机选取的糖代谢正常的住院分娩资料完整的孕妇(B组:即糖代谢正常组)60例的资料进行分析,对比孕产妇并发症,围产儿并发症与妊娠期糖尿病的关系。并将确诊为妊娠期糖尿病的孕妇60例进一步根据血糖控制情况分为Ⅰ组(血糖控制满意组)及Ⅱ组(血糖控制不满意组),对比其孕产妇并发症,围产儿并发症与妊娠期糖尿病治疗的关系。结果:妊娠期糖尿病组与血糖控制不满意组孕产妇并发症及围产儿并发症的发生率均高于糖代谢正常组及血糖控制满意组,差异具有统计学意义(P0.05),其中孕产妇并发症以妊娠期高血压疾病及羊水过多为主,而围产儿并发症则以早产与新生儿窒息为首。结论:及时诊断糖尿病,定期监测及控制血糖,合理饮食与运动,必要时胰岛素治疗,加强围产时期对孕产妇及围产儿的监护,适时终止妊娠可以显著降低孕产妇并发症及围产儿的患病率。
[Abstract]:Objective: to analyze the effect of gestational diabetes mellitus (GDM) on the prognosis of mother and child. Methods: from September 2012 to September 2013, gestational diabetes mellitus was diagnosed in the first affiliated Hospital of Xinjiang Medical University. The data of 60 pregnant women with gestational diabetes mellitus (gestational diabetes mellitus) and 60 pregnant women with normal glucose metabolism were analyzed. Compared with maternal complications, The relationship between perinatal complications and gestational diabetes mellitus. 60 pregnant women diagnosed with gestational diabetes mellitus were further divided into two groups according to their blood glucose control status: group 鈪,
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