妊娠期糖代谢异常162例母儿预后分析  

Analysis on the outcomes of 162 maternal and fetal with abnormal glucose metabolism during pregnancy

作　　者：徐亚萍 

机构地区：[1]山西省大同市第一人民医院妇产科,037004

出　　处：《中国妇幼保健》2011年第20期3068-3070,共3页Maternal and Child Health Care of China

摘　　要：目的：探讨妊娠期糖代谢异常对母儿预后的影响。方法：2003年6月~2007年8月在大同市第一人民医院诊断为妊娠期糖代谢异常的孕妇162例,其中妊娠期糖尿病（GDM）组58例,妊娠期糖耐量减低（G IGT）组104例,另选择150例血糖值正常孕妇作为血糖正常（GNGT）组,比较3组的母儿预后。结果：GDM组孕妇产后即时出血、剖宫产、妊娠期高血压疾病、羊水过多、巨大儿、早产儿和新生儿低血糖的发生率均显著高于GNGT组（P〈0.05）;G IGT组剖宫产、羊水过多、巨大儿的发生率显著高于GNGT组（P〈0.05）。结论：妊娠期糖代谢异常对孕产妇和围生儿的预后有不良影响,应对妊娠期糖代谢异常的孕产妇进行积极干预。Objective：To investigate the effect of abnormal glucose metabolism during pregnancy on maternal and fetal outcomes.Methods：162 patients were diagnosed definitely in our hospital from June 2003 to August 2007.They were divided into Gestational Diabetes Mellitus（GDM）group（58 cases） and gestational impaired glucose tolerance（GIGT）group（104 cases）.150 pregnant women of normal blood glucose were taken as normal glucose tolerance（GNGT）group,maternal and fetal outcomes were compared in three groups.Results：The incidences of postpartum hemorrhage,cesarean section,pregnancy-induced hypertension,polyhydramnios,fatal macrosomia,premature delivery,neonatal hypoglycemia were higher in GDM group than in GNGT group（P0.05）.The incidences of cesarean section,polyhydramnios,fatal acrosomia were higher in the GIGT group than in GNGT group（P0.05）.Conclusion：Abnormal glucose metabolism during pregnancy can produce adverse effect on mothers and neonates.It is very important to positive treatment the pregnant women of abnormal glucose metabolism during pregnancy.

关 键 词：妊娠期糖尿病 妊娠期糖耐量减低 母儿预后 

分 类 号：R714.147[医药卫生—妇产科学]