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目的探讨妊娠期糖尿病(GDM)对母婴结局影响。方法 GDM患者90例作为观察组,同时选择同等例数的健康孕妇作为对照组,分别比较分娩后母体情况及围生儿情况的差异。结果 GDM患者母体妊娠高血压综合征(妊高征)、分娩期并发症、羊水过多及自然流产发生率均较高,与对照组比较差异具有统计学意义(P<0.05);死胎及新生儿死亡、巨大儿及胎儿宫内发育受限发生率均较高,与对照组比较差异具有统计学意义(P<0.05)。结论 GDM对母婴危害较大,应加强早期筛查及诊断;一旦发现,应及时给予干预治疗,减少危害的产生。
Objective To investigate the effect of gestational diabetes mellitus (GDM) on maternal and infant outcomes. Methods Ninety patients with GDM were selected as the observation group and the same number of healthy pregnant women as the control group. The differences of maternal conditions and perinatal conditions after delivery were compared. Results The incidence of maternal pregnancy-induced hypertension (PIH), complications during childbirth, polyhydramnios and spontaneous abortion in GDM patients were significantly higher than those in control group (P <0.05). Stillbirth and newborn Children died, macrosomia and fetus intrauterine growth restriction rate were higher, compared with the control group, the difference was statistically significant (P <0.05). Conclusion GDM is more harmful to maternal and infant. Early screening and diagnosis should be strengthened. Once found, GDM should be given timely intervention to reduce the harm.