摘要
目的了解糖代谢异常对孕妇、胎儿及新生儿的影响。方法对1550例孕妇在孕24～28周做50克糖筛查,阳性者再做75克葡萄糖耐量试验,根据血糖结果将孕妇分为三组,即糖代谢正常组、妊娠期糖尿病组和糖耐量异常组,对三组孕妇及围生儿妊娠结局进行比较。结果妊娠期糖尿病组和糖耐量异常组的妊高征,早产,羊水过多,巨大儿,胎儿窘迫,剖宫产率及新生儿高胆红素血症均高于糖代谢正常组,但妊娠期糖尿病组和糖耐量异常组间无差别。结论糖代谢异常增加孕妇和围生儿患病率,应对其予以重视,早期发现、早期诊断和早期治疗。
Objective To understand the effect of gestational abnormal metabolism of glucose on outcome of pregnancy. Methods 1 550 pregnant women at gestational age of 24-28 weeks were screened with the 50g glucose challenge test （GCT）,posifive-reaction subjects further took oral 75g glucose tolerance test （OGTY）.They were divided into the following groups ：group of pregnant women with normal response to 50g GCT and 75g OGTF, gronp of pregnant women with gestational diabetes mellitus（GDM）and group of pregnant women with gestational impaired glucose tolerance （GIGT）.The pregnant outcome were compared in these three groups. Results The incidences of premature delivery, pregnancy-induced hypertension,polyhydramnois,fetal macrosomia,fetal distress,rate of cesarean section,and hyperbilrubinemia of neonate in the groups of GDM and GIGT were higher than that in the control group.There were no significant differences in the above-mentioned complications between the groups of GDM and GIGT. Conclusion Abnormal metabolism of glucose in pregnancy can increase the morbidity of mothers and neonates.It is very important to make early detection,early diagnosis and treatment for abnormality of glucose metabolism during pregnancy.
出处
《中国现代医药杂志》
2009年第5期79-80,共2页
Modern Medicine Journal of China
