新妊娠期糖尿病诊断标准中发病现状及围产结局分析  

The incidence and perinatal outcome in the new diagnostic criteria for gestational diabetes mellitus

作　　者：赵温[1] 张运平[1] 徐鸿雁[1] 李丹丹[1] 

机构地区：[1]北京市海淀区妇幼保健院,100080

出　　处：《中国妇幼卫生杂志》2013年第6期43-44,46,共3页Chinese Journal of Women and Children Health

摘　　要：目的了解新妊娠期糖尿病诊断标准实施后妊娠期糖尿病(GDM)发生现状及围产结局。方法对2012年10月-2012年12月期间在海淀区妇幼保健院分娩的孕产妇资料进行回顾性分析,统计妊娠期糖尿病(GDM)的发生率及围产结局。结果①妊娠期糖尿病发生率为22.92%。GDM组妊娠年龄、孕前体重和体重指数均高于血糖正常的对照组;②在孕早期和孕中期,GDM组体重增长明显高于对照组,但整个孕期体重总增长比较,GDM组低于对照组,差异有统计学意义;③基础血糖、糖耐量筛查(OGTT)结果是GDM组高于对照组,但糖化血红蛋白两组比较差异无统计学意义;④两组新生儿体重、巨大儿发生率及剖宫产率差异无统计学意义。结论新标准诊断管理孕产妇,围产结局较为满意;孕早、中期体重增加过快可能与存在妊娠期糖尿病危险因素有关,通过在孕早期及早进行干预可能会降低GDM的发生率。[ Objective ] The purpose of this study was to discussed the incidence and perinatal outcome. [ Methods ] We conducted a retrospective cohort study of 2613 singleton pregnancy delivering in haidian maternal and child healthcare hospital from october to December 2012. [ Resluts ] The incidence of gestational diabetes mellitus was 22.92%, gestational age, prepregnancy weight and body mass index of the GDM group were higher than those of the control group; weight gain during the whole pregnancy in GDM group was obviously lower than that of control group, but weight gain in first-trimester and second-trimester were higher in the GDM group than those of control group, the difference was statistically significant; sugar monitoring of GDM group, whether Based blood sugar or OGTT, was higher than those of control group, but had no significant differences in glycated hemoglobin; it was no significant difference in neonatal weight, incidence of macrosomia and cesarean section rate. [ Conclusion ] The new diagnostic criteria management improved maternal and neonatal outcomes; weigh gain too fast in the first and second trimester may be risk factors, it may reduce the incidence of GDM. by intervention means in the early stages of pregnancy.

关 键 词：妊娠期糖尿病 糖耐量 发病率 围产结局 

分 类 号：R714.256[医药卫生—妇产科学]