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目的:探讨控制血糖对妊娠期糖尿病母体并发症及围生儿结局的影响。方法:回顾性分析2007年1月~2008年7月确诊为妊娠期糖尿病90例患者的临床资料。结果:单纯饮食控制82例,占91.11%;饮食控制+胰岛素治疗8例,占8.89%。终止妊娠后需继续胰岛素治疗的2例,占2.22%。90例患者中,高龄产妇18例,并发妊娠期高血压8例。除1例孕35周胎死宫内、2例畸形外,其余新生儿愈后较好。结论:妊娠期糖尿病孕期若能积极控制血糖,适时终止妊娠,母婴愈后良好。
Objective: To investigate the effect of controlling blood sugar on maternal complications and perinatal outcome in gestational diabetes mellitus. Methods: The clinical data of 90 patients diagnosed with gestational diabetes mellitus from January 2007 to July 2008 were retrospectively analyzed. Results: Simple diet control in 82 cases, accounting for 91.11%; diet control + insulin treatment in 8 cases, accounting for 8.89%. 2 cases need to continue insulin treatment after termination of pregnancy, accounting for 2.22%. Of the 90 patients, 18 were elderly mothers and 8 were complicated by gestational hypertension. In addition to a case of 35 weeks of pregnancy fetal death in the womb, 2 cases of deformity, the rest of the newborn better. Conclusion: Gestational diabetes during pregnancy if positive control of blood glucose, timely termination of pregnancy, maternal health after the good.