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目的:探讨中西医结合治疗糖尿病合并妊娠的临床疗效及妊娠结局。方法:对收治的糖尿病合并妊娠患者82例在饮食、运动、胰岛素综合治疗的基础上采用补肾安胎饮加减以健脾补肾扶正,用保阴煎加减以养血清热安胎。结果:治疗后血糖控制在正常范围内,无1例发生酮症酸中毒,无孕产妇或围生儿死亡;妊娠期高血压疾病、羊水过多、胎膜早破、剖宫产、巨大胎儿及尿路感染的发生率与对照组差异无统计学意义(P>0.05)。结论:糖尿病合并妊娠对母婴均有一定危害,采用中西医结合治疗可以有效控制患者的血糖,提高母婴预后,减少并发症。
Objective: To explore the clinical curative effect and pregnancy outcome of integrated traditional Chinese and western medicine in the treatment of diabetes complicated with pregnancy. Methods: 82 patients with diabetes mellitus complicated by pregnancy were treated with Bushen tocolysis drink supplemented with spleen nourishing kidney and Fuzheng decoction on the basis of diet, exercise and insulin comprehensive therapy. Results: After treatment, the control of blood glucose was within the normal range. None of the patients had ketoacidosis and no maternal or perinatal death. Hypertensive disorders during pregnancy, polyhydramnios, premature rupture of membranes, cesarean section, macrosomia The incidence of urinary tract infection and control group showed no significant difference (P> 0.05). Conclusion: Diabetes combined with pregnancy have certain harm to both mother and infant. Integrative treatment with traditional Chinese and western medicine can effectively control the blood sugar, improve the prognosis of maternal and infant and reduce the complications.