妊娠期糖耐量降低对胎儿及新生儿的影响  

The Effect of Gestational Impaired Glucose Tolerance on Fetus and Newborns

作　　者：马雅玲[1,2] 朱定中 张巍[1,2] 王汝琪[1,2] 黄醒华[1,2] 吴连方[1,2] 

机构地区：[1]北京妇产医院 [2]福建省惠安市妇幼保健院

出　　处：《中华妇产科杂志》1997年第7期422-424,共3页Chinese Journal of Obstetrics and Gynecology

摘　　要：目的：探讨妊娠期糖耐量降低（ＧＩＧＴ）对胎儿及新生儿的影响。方法：对ＧＩＧＴ孕妇５２例（ＧＩＧＴ组），妊娠期糖尿病（ＧＤＭ）孕妇３４例（ＧＤＭ组），正常孕妇４４例（对照组）的围产儿结局进行比较。结果：ＧＩＧＴ组巨大儿发生率高于对照组（Ｐ＜０．０２５），生后２小时的血糖均值在３组中最低（Ｐ＜０．０５），低血糖、红细胞增多症等并发症高于对照组。结论：ＧＩＧＴ与ＧＤＭ均是影响胎儿及新生儿预后的重要因素。Objective: To study the effect of gestational impaired glucose tolerance (GIGT) on fetus and newborns. Methods: 52 GIGT mothers and 34 gestational diabetes mothers (GDM) were subjected to systematic monitoring prospectively, other 44 normal mothers served as controls. The perinatal outcomes were compared in the three groups. Results: The incidence of macrosmia in the GIGT group was higher than that of the control group ( P <0.025). Neonatal blood glucose level in the GIGT group at 2 hours of age was the lowest in the three groups ( P <0.05). The incidence of hypoglycemia, polycythemia and wet lung in the GIGT group was higher than that of the control group. Conclusion: GIGT and GDM are important factors for poor perinatal outcome. Obstetricians and pediatricians must pay more attention to it.

关 键 词：糖尿病 血糖 新生儿 胎儿 妊娠合并症 GIGT 

分 类 号：R714.5[医药卫生—妇产科学] R714.256[医药卫生—临床医学]