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目的:分析妊娠糖尿病合并酮症酸中毒的临床特点,观察其治疗效果。方法:选取我院妇产科收治的妊娠糖尿病酮症酸中毒患者12例为观察组,选取既往收集了9例诊断为妊娠糖尿病合并酮症酸中毒但未得到治疗的患者作为对照组。整理分析所选患者的基本情况、临床治疗方法、治疗效果以及妊娠结局。结果:与对照组比较,观察组妊娠高血压综合征、羊水过多、胎膜早破、早产、剖宫产等发生情况明显降低(p<0.05);与对照组比较,观察组发生巨大儿、窒息、宫内死胎以及高胆红素血症等发生情况明显降低(p<0.05)。结论:及早发现妊娠糖尿病合并酮症酸中毒,实施针对性治疗措施能有效降低产妇出现羊水过多、胎膜早破以及早产等现象,明显高改善妊娠结局。
Objective: To analyze the clinical features of gestational diabetes mellitus combined with ketoacidosis and to observe its therapeutic effect. Methods: Twelve patients with gestational diabetic ketoacidosis admitted to our department were selected as observation group. Nine patients diagnosed as gestational diabetes mellitus with ketoacidosis but not treated were selected as the control group. Finishing analysis of selected patients basic information, clinical treatment, treatment and pregnancy outcomes. Results: Compared with the control group, the incidences of pregnancy-induced hypertension syndrome, polyhydramnios, premature rupture of membranes, premature labor and cesarean section in the observation group were significantly decreased (p <0.05). Compared with the control group, , Asphyxia, stillbirth in the uterus and hyperbilirubinemia were significantly lower (p <0.05). Conclusion: Early detection of gestational diabetes mellitus combined with ketoacidosis, targeted treatment measures can effectively reduce the phenomenon of maternal polyhydramnios, premature rupture of membranes and premature rupture, significantly improve the pregnancy outcome.