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治疗妊娠期糖耐量受损的女性可降低妊娠不良结局

[Treating women with gestational impaired glucose tolerance reduces adverse outcome of pregnancy].

作者信息

Li P, Yang H, Dong Y

机构信息

Nanjing Medical University Affiliated Nanjing First Hospital, Nanjing 210006.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1999 Aug;34(8):462-4.

Abstract

OBJECTIVE

To study the treatment of women with gestational impared glucose tolerance (GIGT) in relation to outcome of fetus and newborns.

METHODS

98 women with GIGT were randomized into untreated (37 mothers) and treated groups (61 mothers) that included diet control and insulin therapy. The perinatal outcomes were compared in the two groups.

RESULTS

The incidence of macrosomia (P < 0.01) and fetal distress (P < 0.05) was found to be significantly higher in the untreated group when compared with the treated group. The prevalence of neonatal metabolic complications in the untreated group was higher than that of the treated group as well.

CONCLUSION

Treatment of women with GIGT will reduce adverse outcome in pregnancy.

摘要

目的

研究妊娠糖耐量受损(GIGT)妇女的治疗与胎儿及新生儿结局的关系。

方法

98例GIGT妇女被随机分为未治疗组(37例母亲)和治疗组(61例母亲),治疗组包括饮食控制和胰岛素治疗。比较两组的围产期结局。

结果

与治疗组相比,未治疗组巨大儿发生率(P < 0.01)和胎儿窘迫发生率(P < 0.05)显著更高。未治疗组新生儿代谢并发症的发生率也高于治疗组。

结论

治疗GIGT妇女可降低妊娠不良结局。

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