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分析42例糖尿病孕母,胰岛素依赖型23例,非胰岛素依赖型19例.分娩55例围产儿:早产40％,巨大儿52％,畸形9％,死胎18％。低血糖症68％,病死率40％.胰岛素依赖型孕母空腹血糖 15.8±4.9mmol/L,明显高于非胰岛素依赖组8.5±2.7mmol/L,其围产儿在早产、畸形及病死率两组差异显著.孕母合理治疗与否,其围产儿死胎、畸形和病死率均有明显差异。提出及早控制孕母高血糖是改善围产儿预后的关键。
Analysis of 42 cases of pregnant women with diabetes mellitus, 23 cases of insulin-dependent, non-insulin-dependent 19 cases of delivery of 55 cases of perinatal children: premature birth 40%, macrosomia 52%, deformity 9%, 18% of stillbirths. Hypoglycemia 68%, case fatality rate 40% .The fasting blood glucose of insulin-dependent pregnant women 15.8 ± 4.9mmol / L, significantly higher than the non-insulin dependent group 8.5 ± 2.7mmol / L, perinatal children in preterm birth, deformity and mortality two The difference between the two groups was significant.The reasonable treatment of pregnant women or not, the perinatal stillbirth, deformity and mortality were significantly different. Premature control of high blood sugar is proposed to improve the prognosis of perinatal key.