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目的:探讨妊娠期糖尿病孕妇的孕期管理方法及饮食控制的临床意义。方法:口服50 g葡萄糖进行葡萄糖负荷试验筛查,对血糖≥7.8 mmol/L者做75 g糖耐量试验,将89例妊娠期糖尿病(GDM)和糖耐量受损(GIGT)孕妇与99例正常孕妇比较。结果:89例GDM和GIGT孕妇中有71例(80.1%)经饮食控制与适当运动后血糖控制良好,18例需加用胰岛素治疗。其母儿并发症中,除剖宫产率与对照组有统计学意义外(P<0.05),其他组与对照组比较无统计学意义(P>0.05)。结论:加强妊娠期糖尿病的管理,用饮食控制疗法,辅以适当运动,可有效降低母婴并发症的发生。
Objective: To investigate the gestational management of pregnant women with gestational diabetes mellitus and the clinical significance of diet control. Methods: Glucose was orally inoculated to screen for glucose load test, 75 g glucose tolerance test was performed on blood glucose> 7.8 mmol / L, 89 pregnant women with gestational diabetes mellitus (GDM) and impaired glucose tolerance (GIGT) and 99 normal Comparison of pregnant women. Results: Of the 89 GDM and GIGT pregnant women, 71 (80.1%) had good glycemic control after dietary control and appropriate exercise, and 18 required insulin therapy. The maternal and child complications, in addition to the cesarean section rate and the control group was statistically significant (P <0.05), other groups and the control group was not statistically significant (P> 0.05). Conclusion: To strengthen the management of gestational diabetes mellitus, diet control therapy, supplemented by appropriate exercise, can effectively reduce the incidence of maternal and child complications.