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目的 探讨影响糖尿病孕妇母婴预后的有关因素。方法 分析糖尿病合并妊娠 6 9例临床资料 ,结合围产保健开展前后状况以资比较。结果 孕产妇病死率及围生儿病死率 ,在围产保健开展前后有显著性差异 (P<0 0 5 )。母婴并发症与血糖控制情况密切相关 (P <0 0 5 )。终止妊娠时间以 37～ 40孕周为宜 ,与 <37孕周及>40孕周相比 ,新生儿病率及病死率最低 (P <0 0 5 ,P <0 0 1)。结论 完善围产保健工作 ,对减少母婴死亡及并发症的发生具有重要意义。
Objective To investigate the factors that affect the prognosis of pregnant women and mothers with diabetes mellitus. Methods Sixty-nine cases of diabetes mellitus complicated by pregnancy were analyzed. Results Maternal mortality and perinatal mortality were significantly different between before and after perinatal care (P <0.05). Maternal and child complications and blood glucose control closely related (P <0 05). The duration of pregnancy termination was 37- 40 gestational weeks, with the lowest neonatal and mortality rates (<0.05, P <0.01) compared with <37 gestational weeks and> 40 gestational weeks. Conclusion Perfecting the perinatal care work is of great importance to reduce the death of maternal and infant and the occurrence of complications.