摘要
目的:探讨妊娠期糖尿病(GDM)与母婴结局的关系及相关的处理措施。方法:回顾性收集2007年1月～2010年12月在广西医科大学第一附属医院产科住院分娩的GDM单胎孕产妇病案资料232例作为GDM组,随机选择同期分娩的非GDM单胎孕产妇243例作为对照组,对两组相关资料进行对照分析。结果:GDM组孕产妇剖宫产、妊娠期高血压疾病、产后出血的发生率均高于对照组,两组比较差异有统计学意义(P<0.01);GDM组巨大儿、胎儿生长受限、新生儿低血糖、新生儿高胆红素血症的发生率和新生儿转新生儿科治疗率均高于对照组,两组比较差异有统计学意义(P<0.05);GDM组新生儿窒息发生率高于对照组,但两组比较差异无统计学意义(P>0.05)。结论:及时发现GDM并对GDM孕妇进行合理治疗,有利于降低剖宫产率,减少母婴并发症。
Objective：To explore the relationship between gestational diabetes mellitus（GDM） and maternal and infantile outcomes and the related strategies. Methods：The clinical data of 232 GDM pregnant women of single pregnancy（GDM group） in obstetric department of the hospital from January 2007 to December 2010 were analyzed,meanwhile,243 pregnant women of single pregnancy without GDM were selected as control group,the related data in the two groups were compared and analyzed. Results：The cesarean section rate,the incidences of hypertensive disorder complicating pregnancy（HDCP）,postpartum hemorrhage in GDM group were significantly higher than those in control group（P〈0.01）.The incidences of macrosomia,fetal growth restriction,neonatal hypoglycemia,neonatal hyperbilirubinemia and neonatal transfer rate in GDM group were significantly higher than those in control group（P〈0.05）.The incidence of neonatal asphyxia in GDM group was higher than that in control group,but there was no significant difference between the two groups（P0.05）. Conclusion：Finding out the pregnant women with GDM and treating them reasonably are helpful to reduce cesarean section rate and maternal and infantile complications.
出处
《中国妇幼保健》
CAS
北大核心
2011年第35期5489-5491,共3页
Maternal and Child Health Care of China
关键词
妊娠期糖尿病
母婴并发症
糖尿病筛查
Gestational diabetes mellitus
Maternal and infantile complications
Screening of gestational diabetes mellitus
