妊娠期糖尿病早期干预对母婴结局的影响

摘要

Objective To investigate the effects of early gestational diabetes intervention on maternal and neonatal outcomes.Methods The study was from April 2013 to May 2014 to our hospital 78 cases of pregnant women with gestational diabetes as the observation group, provide exercise guidance, early interventions such as diet and drug therapy, the control group included 78 cases, they were not doing the relevant checks, the admission diagnosis of GDM pregnant women. Pregnancy outcomes and perinatal outcomes were compared.Results Pregnancy outcomes: observation group compared with the control group of pregnant women, premature birth, fetal distress, premature rupture of membranes, incidence of postpartum hemorrhage were lower, the difference was signiifcant (P<0.05); perinatal outcomes: newborn observation group and the control group, the incidence of huge children, neonatal asphyxia, neonatal hyperbilirubinemia and neonatal hypoglycemia were lower, the difference was signiifcant (P<0.05).Conclusion Pregnant women with gestational diabetes early intervention can improve maternal and neonatal outcomes, so that the incidence of perinatal complications was signiifcantly reduced.%目的：探讨妊娠期糖尿病早期干预对母婴结局的影响。方法研究对象为2013年4月至2014年5月来我院治疗的78例妊娠期糖尿病孕妇并将其为观察组，给予运动指导、饮食控制及药物治疗等早期干预措施，对照组78例，均为没有进行相关检查，入院时才确诊为GDM的孕妇，比较两组妊娠结局及围生儿结局。结果妊娠结局：观察组孕妇与对照组比较，早产、胎儿宫内窘迫、胎膜早破及产后出血的发生率较低，差异有统计学意义（P＜0.05）；围生儿结局：观察组新生儿与对照组比较，巨大儿、新生儿窒息、新生儿高胆红素血症及新生儿低血糖的发生率较低，差异有统计学意义（P＜0.05）。结论妊娠期糖尿病孕妇早期干预可以改善母婴结局，使围生期并发症的发生率显著降低。