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目的:探讨妊娠期糖尿病(GDM)对妊娠结局和新生儿结局的影响。方法:对31例GDM患者(GDM组)和120例正常妊娠孕妇(对照组)的临床资料进行回顾性分析,对2组的妊娠结局、妊娠并发症及新生儿结局进行比较。结果:对照组、GDM组剖宫产率分别为60.0%、93.5%,有手术指征者分别占18.3%、51.6%,早产率分别为9.2%、22.6%,巨大儿发生率分别为6.7%、19.4%,GDM组均明显高于对照组(P<0.05)。结论:GDM孕妇的手术产率、早产率及巨大儿发生率均明显升高,应密切关注GDM孕妇,早期筛查,早期处理,以减少母婴并发症的发生。
Objective: To investigate the effect of gestational diabetes mellitus (GDM) on pregnancy outcome and neonatal outcome. Methods: The clinical data of 31 GDM patients (GDM group) and 120 normal pregnant women (control group) were retrospectively analyzed. The pregnancy outcomes, pregnancy complications and neonatal outcomes were compared between the two groups. Results: The rates of cesarean section in control group and GDM group were 60.0% and 93.5% respectively, with 18.3% and 51.6% of surgical indications respectively. The rates of premature delivery were 9.2% and 22.6% respectively, and the incidence of macrosomia were 6.7% , 19.4%, GDM group were significantly higher than the control group (P <0.05). Conclusion: The surgical yield, preterm birth rate and the incidence of macrosomia in GDM pregnant women are significantly increased. Pregnant women with GDM should be closely monitored. Early screening and early treatment should be done to reduce the incidence of maternal and infant complications.