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目的探讨常住孕产妇与外来流动孕产妇妊娠期糖尿病围产结局的差异,为加强外来流动孕产妇妊娠期糖尿病的规范化管理提供依据。方法采用前瞻性研究的方法,选取2013年10月-2014年3月在广州市白云区妇幼保健院产检和分娩的妊娠期糖尿病患者,按照户籍和常住地,分为外来流动孕产妇(105例)、常住孕产妇(107例),运用卡方检验、t检验等方法分析孕产妇围产结局。结果外来流动孕产妇妊娠期糖尿病的早产发生率大于常住户籍(χ2=10.04,P=0.01),胎儿窘迫的发生率大于常住孕产妇(χ2=4.69,P=0.03),巨大儿的发生率大于常住孕产妇(P=0.03),外来流动妊娠期糖尿病孕产妇产后42天空腹血糖高于常住孕产妇(t=2.34,P=0.02),OGTT的1小时血糖值高于常住孕产妇(t=2.86,P=0.01)。结论外来流动孕产妇妊娠期糖尿病的围产病率较常住孕产妇高,应进一步强化对外来流动孕产妇妊娠期糖尿病的管理。
Objective To explore the difference of perinatal outcome of gestational diabetes between resident pregnant women and migrant pregnant women and to provide basis for strengthening the standardized management of gestational diabetes in migrant pregnant women. Methods A prospective study was conducted to select pregnant women with gestational diabetes at the Maternity and Child Health Hospital of Baiyun District in Guangzhou from October 2013 to March 2014. The pregnant women with migraines were divided into migrant pregnant women (105 cases ), Often pregnant women (107 cases), the use of chi-square test, t test and other methods of analysis of maternal perinatal outcomes. Results The incidence of preterm birth of migrant gestational diabetes in migrant women was higher than that of permanent residents (χ2 = 10.04, P = 0.01). The incidence of fetal distress was higher than that of pregnant women (χ2 = 4.69, P = 0.03) (P = 0.03). The fasting blood glucose of migrant gestational diabetes mellitus was higher in 42 days postpartum than that of pregnant women (t = 2.34, P = 0.02). The 1 hour blood glucose level of OGTT was higher than that of pregnant women (t = 2.86, P = 0.01). Conclusion The prevalence of gestational diabetes mellitus in migrant pregnant women is higher than that of the common pregnant women, and the management of gestational diabetes mellitus in migrant pregnant women should be further strengthened.