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目的探讨妊娠糖尿病相关临床指标与母婴围生结局的关系。方法对比分析我院附属医院52例妊娠糖尿病产妇与相匹配的52例健康产妇母婴围临床资料。结果妊娠糖尿病组较正常组空腹血糖、收缩压和舒张压增高,新生儿体重和孕妇腹围增大,孕周缩短;血糖值与产妇孕次产次和胎儿身长呈线性相关关系:妊娠高血压综合征、巨大儿、胎儿窘迫和死产的发生率显著增高。结论血糖、血压、产妇产次孕次和腹围等指标与母婴结局密切有关,为综合分析妊娠糖尿病病情提供临床依据。
Objective To investigate the relationship between gestational diabetes mellitus related clinical indicators and maternal and infant perinatal outcome. Methods 52 cases of pregnant women with gestational diabetes mellitus and 52 cases of healthy mothers and their maternal infants were compared and analyzed. Results Compared with the normal group, the gestational diabetes mellitus patients had higher fasting blood glucose, systolic blood pressure and diastolic blood pressure, weight of the newborn and abdominal circumference of the pregnant women increased, gestational age shortened. The blood glucose level had a linear correlation with the pregnant fetus time and fetus length of pregnancy: Syndrome, macrosomia, fetal distress and stillbirth were significantly higher. Conclusion The indexes of blood sugar, blood pressure, second trimester of pregnancy and abdominal circumference are closely related to maternal and infant outcomes, providing a clinical basis for the comprehensive analysis of gestational diabetes mellitus.