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Clinical Analysis of Maternal and Fetal Outcome in Pregnancy with Overt Diabetes during 21 years
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PERINATAL MEDICINE
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1007-9408.2003.02.001
- Key Word:
- 糖尿病,妊娠;妊娠结局;血糖
Abstract： 目的研究糖尿病患者孕期血糖控制对妊娠结局的影响. 方法回顾性分析1981～2001年间88例糖尿病孕妇孕期血糖水平与妊娠结局的关系.88例患者中2例行中期引产,1例行人工流产,将其余85例分为两组:孕期血糖控制满意者42例(A组),血糖控制不满意或未控制者43例(B组). 结果 B组胎死宫内5例,其中3例发生在围产期,A组无一例发生胎死宫内(P值为0.069).B组妊高征及早产发生率分别为44.2%和30.2%,显著高于A组的21.4%和9.2%(P值分别为0.026和0.017);B组新生儿窒息发生率为24.4%,显著高于A组的4.8%(P值为0.011);新生儿畸形9例(10.2%). 结论加强糖尿病患者孕前及孕期血糖控制和监测,可明显地减少孕产妇合并症、围产儿病率及死亡率,改善母儿结局.
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