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目的:分析妊娠期糖尿病的易感相关因素及规范化管理在妊娠糖尿病产前中的意义。方法:纳入本院2012年1月-2013年11月单胎妊娠检查确诊为妊娠期糖尿病的产妇250例,运用logistic分析发病的相关因素;同时运用产前妊娠糖尿病规范管理,分析产前妊娠期糖尿病规范化管理对发病的控制情况。结果:孕前的体质量指数、体质量、家族史、年龄依次为妊娠糖尿的易感相关因素;治疗组、未治疗组、对照组在规范化管理的治疗效果对比,早产、剖腹产率、胎儿窘迫未治疗组与对照组比较,差异具有统计学意义(P<0.05),产后出血,3组比较,差异无统计学意义(P>0.05)。未治疗组的大于胎龄儿、新生儿窒息、低血糖的发生率均高于对照组和治疗组,差异具有统计学意义(P<0.05)。结论:影响妊娠期糖尿病的相关因素有孕期的体质量指数、体质量、家族史、年龄;规范化管理运用于妊娠期糖尿病可以改善妊娠糖尿病的不良妊娠结局。
Objective: To analyze the related factors of susceptibility to gestational diabetes and the significance of standardized management in prenatal diagnosis of gestational diabetes mellitus. Methods: 250 cases of maternal pregnancy diagnosed as gestational diabetes mellitus from January 2012 to November 2013 in our hospital were enrolled in this study. Logistic analysis was used to analyze the incidence of related factors. At the same time, standardized management of prenatal gestational diabetes mellitus was used to analyze prenatal pregnancy Diabetes standardized management of the incidence of control. Results: Pre-pregnancy body mass index, body mass, family history, and age were the related factors of susceptibility to gestational diabetes. The treatment effect of standardized management in treatment group, untreated group and control group were compared. Preterm birth, Caesarean section rate, fetal distress The difference between the treatment group and the control group was statistically significant (P <0.05), postpartum hemorrhage, there was no significant difference between the three groups (P> 0.05). The incidence of asphyxia and hypoglycemia in untreated group was significantly higher than that in control group and treatment group (P <0.05). Conclusion: The related factors affecting gestational diabetes include body mass index during pregnancy, body mass, family history and age. Standardized management of gestational diabetes can improve the adverse pregnancy outcome of gestational diabetes mellitus.