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目的:通过对妊娠期糖尿病孕期系统管理以及妊娠结局的追踪及效果评价,探索妊娠期糖尿病孕期系统管理的可行性。方法:选择2009年4月～2010年9月在嘉兴市妇幼保健院建立围产保健册且在孕24～28周进行常规糖尿病筛查后确诊的妊娠期糖尿病孕妇225例,随机分为2组,一组为孕期系统管理组,另一组为对照组,追踪比较两组母婴结局。结果:管理组发生并发症64例,发生率46.72%;对照组发生并发症60例,发生率61.22%;两组并发症发生率比较有统计学差异(P<0.05)。管理组发生不良妊娠结局27例,占19.71%;对照组围产儿发生不良结局55例,发生率56.12%,两组围产儿不良结局发生率比较有统计学差异(P<0.05)。结论:妊娠期糖尿病的系统化管理,规范,有效,具有可操作性,值得在基层推广。
OBJECTIVE: To explore the feasibility of systematic management of gestational diabetes during pregnancy through the systematic management of gestational diabetes during pregnancy and the follow-up and evaluation of the outcome of pregnancy. Methods: From April 2009 to September 2010, 225 pregnant women with gestational diabetes mellitus who were diagnosed as perinatal care book in Jiaxing MCH and were diagnosed after conventional diabetes screening in 24-24 weeks of gestation were randomly divided into 2 groups , One for the system management during pregnancy, the other for the control group, follow-up comparison of maternal and child outcomes in both groups. Results: There were 64 cases of complications occurred in the management group, the incidence rate was 46.72%. The incidence of complications in the control group was 60 cases (61.22%). There was significant difference between the two groups in the incidence of complications (P <0.05). There were 27 cases of adverse pregnancy outcomes in the management group, accounting for 19.71%. The incidence of adverse outcomes in the control group was 55 cases (56.12%). There was a significant difference in the incidence of adverse outcomes between the two groups (P <0.05). Conclusion: The systematic management of gestational diabetes mellitus is standardized, effective and feasible. It is worth to promote at the grassroots level.