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目的探讨妊娠期糖尿病(GDM)的早期诊断与治疗对妊娠结局的影响。方法以到怀化市妇幼保健院就诊的孕妇为研究对象,选择24周以前确诊为GDM的患者36例为A组,24～28周确诊为GDM的患者58例为B组,两组患者采用膳食控制、适度运动、血糖控制以及胰岛素等方面的治疗,对孕妇妊娠结局进行对比分析。结果妊娠可使糖尿病患者病情加重、血糖难以控制及发生酮酸中毒。糖尿病可使妊娠期孕妇高血压疾病、难产、羊水过多、巨大儿等发生率增加。结论早期糖筛查利于及早的发现部分GDM,而GDM的及时诊断与积极治疗能明显改善妊娠结局以及减少母婴并发症。
Objective To investigate the effect of early diagnosis and treatment of gestational diabetes mellitus (GDM) on pregnancy outcome. Methods The pregnant women in Huaihua MCH hospital were selected as the research object. 36 patients with GDM diagnosed before 24 weeks were selected as group A, 58 patients diagnosed with GDM between 24 and 28 weeks as group B. The patients in both groups were treated with diet Control, moderate exercise, blood glucose control and insulin treatment, pregnant women, pregnancy outcomes were compared. Results of pregnancy can make diabetic patients aggravate, difficult to control blood glucose and ketoacidosis. Diabetes can make gestational hypertension in pregnant women, dystocia, polyhydramnios, macrosomia and other increased incidence. Conclusion Early screening of glucose facilitates the early detection of partial GDM. The timely diagnosis and active treatment of GDM can significantly improve pregnancy outcome and reduce maternal-fetal complications.