IADPSG2010标准诊治妊娠期糖尿病778例效果观察

发布时间：2018-03-21 03:36

本文选题：妊娠期糖尿病　切入点：诊治金标准　出处：《山东医药》2015年22期 　论文类型：期刊论文

【摘要】：目的探讨采用国际糖尿病与妊娠研究组(IADPSG)2010标准诊治妊娠期糖尿病(GDM)的效果。方法根据IADPSG2010标准诊治的778例GDM患者为GDM组,选择同期778例正常产妇为对照组。比较两组分娩方式、母婴结局。结果 GDM组产妇经过膳食控制、运动锻炼的生活方式指导,能控制血糖者(GDMA1)710例(91.12%);采用膳食控制加运动锻炼效果不佳,加用胰岛素将血糖控制在正常范围者(GDMA2)者66例(8.48%);使用胰岛素血糖控制不满意者2例(0.26%)。后两者用胰岛素的时间是孕25~29周,胰岛素全天总量12~65 U。GDM组顺产597例、阴道助产23例、剖宫产158例,对照组分别为605、20、153例,两组分娩方式相比差异无统计学意义。除胎膜早破发生率GDM组低于对照组(P0.05)外,余母儿并发症发生率两组差异无统计学意义。结论 IADPSG2010标准诊治GDM效果满意,患者分娩方式和母儿结局与正常产妇无差异。
[Abstract]:Objective to investigate the effect of the International study Group on Diabetes and pregnancy (IDDM) in the diagnosis and treatment of gestational diabetes mellitus (GDM). Methods according to IADPSG2010 criteria, 778 GDM patients were selected as GDM group and 778 normal parturient women as control group. The delivery patterns of the two groups were compared. Results in GDM group, 710 cases of GDMA _ 1and 710 cases were treated with diet control and exercise, but the effect of diet control plus exercise was not good. There were 66 cases with normal blood glucose control with insulin (GDMA2) and 2 cases with unsatisfactory insulin control (0.26%). The time of insulin use in the latter two groups was 2529 weeks of gestation. The total amount of insulin in 1265 U.GDM group was 597 cases in the whole day group and 23 cases in vaginal midwifery group. The incidence of premature rupture of membranes in GDM group was lower than that in control group (P 0.05). Conclusion there is no significant difference in the incidence of complications between the two groups. Conclusion the IADPSG2010 standard is satisfactory in the diagnosis and treatment of GDM, and there is no difference between the delivery mode and the maternal and fetal outcome of the patients and the normal parturient.
【作者单位】：中山市东凤人民医院;
【分类号】：R714.256

【参考文献】