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目的探讨早期筛查和干预妊娠期糖尿病(gestational diabetes mellitus,GDM)对母婴围产结局的影响,为临床治疗提供参考依据。方法选取2014年1月~2015年3月在该院产科门诊进行筛查的GDM孕妇,随机抽取141例为研究对象,按照筛查时间和血糖控制水平分为观察组(妊娠24~28周筛查,给予干预)和对照组(妊娠28周以后确诊,给予干预),比较两组孕产妇妊娠并发症发生情况、分娩方式和围生儿并发症的发生情况。结果观察组妊娠期高血压疾病、羊水过多、早产和胎膜早破的发生率均低于对照组,差异均有统计学意义(均P<0.05);观察组孕妇剖宫产率、巨大儿、新生儿低血糖、呼吸窘迫综合征发生率均显著低于对照组,差异均有统计学意义(均P<0.05)。结论早期筛查和干预GDM孕产妇,能够显著降低孕产妇和围生儿并发症的发生率,改善母婴预后,提高生命质量。
Objective To investigate the effects of early screening and intervention gestational diabetes mellitus (GDM) on the perinatal outcomes in infants and infants, and to provide a reference for clinical treatment. Methods A total of 141 GDM pregnant women who were screened in obstetrics and gynecology clinic from January 2014 to March 2015 were randomly divided into observation group (24-28 weeks gestation Check, intervention) and control group (28 weeks after pregnancy, diagnosed, given intervention), compared the incidence of pregnancy complications in pregnant women, delivery methods and complications of perinatal complications. Results The incidence of gestational hypertension, polyhydramnios, premature labor and premature rupture of membranes in observation group were significantly lower than those in control group (all P <0.05). The rate of cesarean section in observation group was significantly Children, neonatal hypoglycemia, respiratory distress syndrome incidence were significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion Early screening and intervention of GDM pregnant women can significantly reduce the incidence of maternal and perinatal complications, improve maternal and child prognosis and improve quality of life.