妊娠期糖尿病对妊娠结局的影响  

Effect of gestational diabetes mellitus on pregnancy outcome

作　　者：李志杰[1] 吴跃芹[1] 王细先[1] 荣艳霞[1] 

机构地区：[1]北京航天总医院妇产科,100076

出　　处：《中国现代医药杂志》2015年第2期45-48,共4页Modern Medicine Journal of China

摘　　要：目的探讨妊娠期糖尿病（GDM）对孕产妇妊娠结局及围产儿的影响。方法回顾性分析2013年6月~2014年7月在我院住院分娩的妊娠期糖尿病孕妇100例（观察组）和同期分娩的正常孕妇100例（对照组）,观察两组孕妇的一般临床资料,产时、产后并发症及围产儿结局。结果 1年间我院妊娠期糖尿病的患病率为8.3%,妊娠期糖尿病组妊娠期高血压、胎膜早破、产后出血、剖宫产率、巨大儿、新生儿窒息、新生儿低血糖的发生率明显高于对照组,差异有统计学意义（P〈0.05）。结论对妊娠期糖尿病患者早筛查、早发现、早诊断以及有效地监测、控制血糖会降低妊娠期糖尿病并发症的发生率,改善新生儿的预后等不良妊娠结局,但妊娠期糖尿病并发症的发生率仍然比正常孕妇偏高。Objective To explore the effect of gestational diabetes mellitus （GDM） on pregnancy and neonatal outcome. Methods 100 cases of pregnancy women with GDM （observation group） and 100 cases of normal pregnant women （control group） in our hospital were retrospectively analyzed. The analysis was focused on general clinical data,puerperal complications and perinatal outcome. Results The prevalence rate of GDM during the studying period in our hospital was 8.3%. The inci- dence rate of gestational hypertension,premature rupture of membranes,postpartum hemorrhage,cesarean section rate,fetal ,asphyxia neonatorum and neonatal hypoglycemia of observation group was respectively obviously higher than those of control group （P〈0.05）. Conclusion Early screening, early detection, early diagnosis, effectively monitoring and controlling blood glucose may reduce the incidence rate of complication for GDM pregnant women and improve neonatal outcomes,but the incidence of complication for GDM pregnant women is still significantly higher than nomal pregnant women.

关 键 词：孕妇 妊娠期糖尿病 并发症 

分 类 号：R714.256[医药卫生—妇产科学]