妊娠期糖尿病的干预治疗与妊娠结局的临床分析
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冯海琪,女,主治医师,主要从事妇产科工作。

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R 714.256

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Clinical Analysis of Interventional Treatment of Gestational Diabetes and Pregnancy Outcome
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    摘要:

    摘 要目的:分析妊娠期糖尿病的干预治疗对妊娠结局的影响。 方法:择取 2015 年 1 月至 2019 年 6 月广东医科大 学附属第三医院收治的妊娠期糖尿病患者 150 例,随机分为普通干预组和综合干预组,每组 75 例,普通干预组给予常规饮 食干预,综合干预组在普通干预组基础上增加运动管理和药物控制,比较两组患者血糖控制良好时间、治疗前后血糖控制 结果和体质量指数、并发症发生情况及围生儿不良情况。 结果:综合干预组患者血糖控制良好时间短于普通干预组,差异 具有统计学意义(P < 0.05)。治疗前两组患者空腹血糖、餐后 2 h 血糖和体质量指数比较,差异均无统计学意义(P > 0.05), 治疗后综合干预组患者空腹血糖、餐后 2 h 血糖和体质量指数均明显低于普通干预组,差异具有统计学意义(P < 0.05)。 综合干预组患者并发症发生率为 10.67 %,明显低于普通干预组的 32.00 %,差异具有统计学意义(P < 0.05)。综合干预 组围生儿不良情况发生率为 9.33 %,低于普通干预组的 32.00 %,差异具有统计学意义(P < 0.05)。 结论:饮食干预的基 础上增加运动管理和药物控制,可更好地控制妊娠期糖尿病患者体质量和血糖,改善妊娠结局。

    Abstract:

    AbstractObjectiveTo analyze the influence of interventional treatment of gestational diabetes on pregnancy outcome. Methods 150 cases of gestational diabetes patients admitted to the Third Affiliated Hospital of Guangdong Medical University from January 2015 to June 2019 were randomly divided into general intervention group and comprehensive intervention group, with 75 cases in each group, and the general intervention group was given routine diet intervention, the comprehensive intervention group added exercise management and drug control on the basis of the general intervention group, and compared the time of well blood glucose control, the results of blood glucose control before and after treatment, the body mass index, the occurrence of complications, and the perinatal adverse conditions of the two groups. Results The time of well blood glucose control in the comprehensive intervention group was shorter than that in the general intervention group, the difference was statistically significant (P < 0.05). Before treatment, there was no significant differences of fasting blood glucose, 2 h postprandial blood glucose and body mass index between the two groups of patients (P > 0.05); After treatment, the fasting blood glucose, 2 h postprandial blood glucose and body mass index of the patients in the comprehensive intervention group were all Significantly lower than the general intervention group, data testing showed significant differences (P < 0.05); The complication rate of patients in the comprehensive intervention group was 10.67%, which was significantly lower than 32.00% of the general intervention group, data testing showed significant differences (P < 0.05); The incidence of perinatal adverse events in the comprehensive intervention group was 9.33%, which was lower than 32.00% in the general intervention group. Data testing showed a significant difference (P < 0.05). Conclusion Adding exercise management and drug control on the basis of diet intervention can better control the body mass and blood sugar of patients with gestational diabetes and improve pregnancy outcome.

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  • 收稿日期:2021-10-08
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  • 在线发布日期: 2023-07-26
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