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目的总结妊娠期糖尿病的诊治体会。方法对30例妊娠期糖尿病的临床资料进行回顾性分析。结果 30例妊娠期糖尿病结局:25例诊治及时,除有5例巨大儿外,其余新生儿体重在3000～3800g,母儿均无严重并发症。5例因发现诊断较晚,血糖控制不满意,其中4例合并重度子痫前期,3例术后切口未愈合,2例合并羊水过多,3例新生儿有心脏及神经系统畸形而死亡。结论提高对妊娠期糖尿病的认识,发现妊娠期糖尿病尽早治疗,争取让每一位妊娠期糖尿病患者都有一个好的妊娠结局。
Objective To summarize the diagnosis and treatment of gestational diabetes mellitus. Methods The clinical data of 30 cases of gestational diabetes mellitus were retrospectively analyzed. Results 30 cases of gestational diabetes mellitus: 25 cases of diagnosis and treatment in a timely manner, with the exception of 5 cases of huge children, the rest of the newborn weight in 3000 ~ 3800g, no serious complications in both mother and child. Five patients were diagnosed late due to unsatisfactory glycemic control. Among them, 4 were complicated with severe preeclampsia, 3 were not healed after incision, 2 were complicated with polyhydramnios and 3 died of heart and nervous system deformity. Conclusion To improve the understanding of gestational diabetes and found that early treatment of gestational diabetes, strive to make every gestational diabetic patients have a good pregnancy outcome.