妊娠期糖尿病及糖耐量受损对母婴结局的影响  

Influnce of gestational diabetes and impaired glucose tolerance on maternal and neonatal outcomes

作　　者：陈芬[1] 

机构地区：[1]广东省梅州市妇幼保健院妇产科,广东梅州514021

出　　处：《中国现代医生》2013年第19期158-160,共3页China Modern Doctor

基　　金：广东省梅州市科技计划项目(2010B74)

摘　　要：目的探讨妊娠期糖尿病及妊娠期糖耐量受损对母婴结局的影响。方法 2012年3～12月于我院定期产检的孕妇,葡萄糖筛查确诊为妊娠期糖耐量受损(GIGT组)140例,妊娠期糖尿病(GDM组)99例,选择同期住院无合并症的正常孕妇200例作为对照组。比较GIGT、GDM和正常孕妇的母婴结局。结果 GIGT组和GDM组孕妇中妊高症、早产、胎膜早破、羊水过多及产前感染发生率均明显高于对照组,差异有统计学意义(P<0.05);围生儿中低血糖、巨大儿、感染、新生儿窒息、畸形的发生率均明显高于对照组,差异有统计学意义(P<0.05)。GIGT与GDM对妊娠结局的影响结果相似。结论 GIGT和GDM均影响孕妇及围生儿结局,导致母婴近期远期严重并发症的重要因素,对所有孕妇及时进行糖尿病筛查,及早发现、治疗,控制血糖于正常水平,能有效地降低母婴并发症的发生。Objective To investigate the influnce of gestational diabetes and impaired glucose tolerance on maternal and neonatal outcomes. Methods From March to December 2012 regular check-ups of pregnant women in our hospi- tal, the glucose screening diagnosed with gestational impaired glucose tolerance to damage （GIGT group） were 140 cas- es, 99 cases of gestational diabetes mellitus （GDM group）, selected 200 cases of uncomplicated normal pregnant wom- en in the corresponding period as the control group. Maternal and neonatal outcomes of GIGT, GDM and normal preg- nant women were compared. Results GIGT group and GDM group of pregnancy-induced hypertension, preterm labor, premature rupture of membranes, polyhydramnios and prenatal infection incidence rate was significantly higher than that in the control group, had statistically significant difference, the perinatal child hypoglycemia, huge children, in- fection, neonatal asphyxia, deformity rate was significantly higher than that in the control group, the difference was sta- tisticaUy significant （P 〈0.05）. The influnce of GIGT and the GDM pregnancy outcome results was similar. Conclusion GIGT and GDM affect the children of pregnant women and perinatal outcomes lead to maternal and child an important factor in the recent serious long-term complications, diabetes screening for all pregnant women in a timely manner, early detection, treatment, control blood sugar at normal levels, can effectively reduce the incidence of maternal com- plications.

关 键 词：妊娠期糖尿病 妊娠期糖耐量受损 母婴结局 

分 类 号：R714.2[医药卫生—妇产科学]