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1、产前干预对妊娠期糖尿病患者妊娠结局的治疗策_妇产科学论文［摘要］目的探讨产前干预对妊娠期糖尿病患者妊娠结局的影响。方法选择2012年1月〜2014年1月我院确诊的妊娠期糖尿病患者100例，根据是否进行产前干预分为观察组和对照组，每组50例，对照组产前未实施田可干预措施,观察组实施包括心理干预、饮食干预、运动干预及药物干预等早期干预措施，比较两组产妇的并发症情况及两组新生儿Apgar评分、两组新生儿并发症情况。结果观察组产妇行剖宫产比率明显低于对照组,且观察组产妇出现感染、产后出血、妊娠高血压综合征羊水过多的比率也显著低于对照组（P0.0
2、51观察组新生儿Apgar评分8分比率显著高于对照组（P0.05观察组产后新生儿岀现巨大儿、低血糖、窒息、羊水污染、高胆红素血症、胆红素血症、红细胞增多症的比率显著低于对照组（P0.05结论对妊娠期糖尿病患者进行早期干预可降低产妇及新生儿并发症的发生率，提高产科质量。［关键词］妊娠期糖尿病；产前干预；妊娠结局；新生儿Apgar评分［中图分类号］R714.2［文献标识码］B［文章编号］1673・9701（2015）01-0007-03Effectsofprenatalinterventiononpregnancyoutcomeofge
3、stationaldiabetesYANGLijieDepartmentofObstetricsandGynecologyzJiamusiMaternalandChildHealth-CareHospitalofHeilongjiangProvince,Jiamusi154002zChina[Abstract]ObjectiveToinvestigatetheeffectofprenatalinterventiononpregnancyoutcomeofgestationaldiabetes.MethodsOnehundredcases
4、ofgestationaldiabetespatientsfromJanuary2012toJanuary2014inourhospital,weredividedintoobservationgroupandcontrolgroup,50casesineachgroup,thecontrolgroupdidnotimplementanyprenatalinterventions,observationgroupcarriedpsychologicalintervention,includeddietaryintervention,ex
5、erciseinterventionanddruginterventionofearlyinterventionmeasures,theMaternalcomplications,neonatalApgarscore,neonatalcomplicationswerecomparedbetweenthetwogroups.ResultsMaternalcesareansectionrateintheobservationgroupwaslowerthanthatofthecontrolgroup,maternalinfectionzpo
6、stpartumhemorrhage,pregnancyinducedhypertensionsyndromecombinedratioofpolyhydramniosintheobservationgroupweresignificantlylowerthanthatofthecontrolgroup(P0.05).TheneonatalApgarscoremorethan8centratioofobservationgroupwassignificantlyhigherthanthecontrolgroup(P0.05).Theoc
7、curredpostpartumneonatalmacrosomia,hypoglycemia,hyperbilirubinemia,amnioticfluidcontamination,asphyxiazhyperbilirubinemia,polycythemiaratioofobservationgroupweresign讦icantlylowerthanthecontrolgroup(P0.05).ConclusionForgestationaldiabetespatientswithearlyinterventioncanre
8、ducematernalandneonatalcomplicationsrate,improvethequalityofobstetrics.Gestationaldiabetesmellitus;Pren
