妊娠期糖耐量受损的妊娠结局临床分析  

Clinical analysis of pregnant outcomes in women with gestational impaired glucose tolernace

作　　者：张媛[1] 

机构地区：[1]重庆市妇幼保健院母婴中心,重庆400013

出　　处：《重庆医科大学学报》2009年第5期612-614,共3页Journal of Chongqing Medical University

摘　　要：目的:探讨妊娠期糖耐量受损(Gestational impaired glucose tolerance,GIGT)对妊娠结局的影响。方法:选择2007年6月至2008年6月在我院门诊检查并住院分娩的71例GIGT的孕妇作为研究组,并随机选择同期在我院检查并分娩的50g葡萄糖负荷试验(Glucose challenge test,GCT)正常的孕妇71例为对照组,比较两组的妊娠结局。结果:两组剖宫产率、胎膜早破、胎儿畸形发生率、新生儿窒息率差异无统计学意义(P>0.05)。GIGT组妊娠期高血压疾病发生率、羊水过多、早产率、外阴阴道假丝酵母菌病(Vulvovaginal candidiasis,VVC)发病率、巨大儿发生率、新生儿低血糖率与对照组相比较差异有统计学意义(P<0.05)。结论:GIGT对妊娠结局有不良影响。Objective： To investigate the effects of gestational impaired glucose tolernace on the pregnant outcome. Methods： 71 pregnant women with gestational impaired glucose tolerance and 71 pregnant women with normal 50g glucose challenge test was investigated. All pregnant women had antenatal care and delivered in our hospital from June 2007 up to June 2008. Results： The incidence of cesarean section,premature rupture of membrane, malformation, asphyxia of newborn was no difference between the two groups （P〉0.05）. The incidence of hypertensive disorders in pregnancy,polyhydramnios ,premature delivery,vulvovaginal candidiasis,fetal macrosomia,neonatal hypoglycemia in the GIGT group was significantly higher than contras groups （P〈0.05）.Conclusion： The effects of gestational impaired glucose tolerance are negative on pregnancy outcome.

关 键 词：妊娠 糖耐量受损 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]