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目的:探讨在不同孕周应用胰岛素对GDM患者妊娠结局的影响。方法:选取2015年01月至2016年11月在我院产科住院治疗的妊娠合并糖尿病患者60例,按怀孕周期的不同分为A组与B组,每组中各30例患者。比较两组患者治疗前及分娩前血糖改善情况及妊娠结局。结果:A组患者的剖宫产率高于B组,差异有统计学意义(P<0.05);A组患者的巨大儿、胎儿窘迫、死胎发生率虽高于B组,但差异无统计学意义(P>0.05)。结论:早期诊断与及时应用胰岛素治疗可很好的控制GDM患者的血糖水平,降低剖宫产率及孕产妇与新生儿并发症的发生率,有效的改善母婴结局。
Objective: To investigate the effect of insulin in different gestation weeks on pregnancy outcomes in GDM patients. Methods: Sixty pregnant women with diabetes mellitus who were hospitalized in our hospital from January 2015 to November 2016 were selected and divided into groups A and B according to the difference of pregnancy cycles. Each group included 30 patients. The improvement of blood glucose and pregnancy outcome before treatment and before delivery were compared between the two groups. Results: The rate of cesarean section in group A was significantly higher than that in group B (P <0.05). The incidence of macrosomia, fetal distress and stillbirth in group A was higher than that in group B, but the difference was not statistically significant Significance (P> 0.05). Conclusion: Early diagnosis and timely application of insulin therapy can be very good control of blood glucose levels in GDM patients, reduce the incidence of cesarean section and maternal and neonatal complications, and effectively improve the outcome of maternal and infant.