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目的探讨妊娠期糖尿病(GDM)的两种不同诊断标准对母婴结局的影响。方法选取2010年和2012年在上海市浦东新区公利医院诊断并分娩的妊娠期糖尿病患者389例。按照两种不同的诊断标准,分为NDDG组(106例)和IADPSG组(283例)。从孕产妇的并发症、分娩方式和新生儿结局三方面对两组患者的母婴结局进行比较。结果 NDDG组患者羊水过多、妊娠期高血压疾病、巨大儿,新生儿低血糖、剖宫产发生率明显高于IADPSG组(P<0.05),而两组产后出血、胎膜早破、新生儿窒息发生率比较,无统计学差异(P>0.05)。结论采用IADPSG诊断标准,可使更多的孕妇被诊断为GDM,对其进行饮食及生活方式的干预,可改善不良母婴结局。
Objective To investigate the effects of two different diagnostic criteria of gestational diabetes mellitus (GDM) on maternal and infant outcomes. Methods 389 gestational diabetes patients diagnosed and delivered in Gongli Hospital of Pudong New Area in Shanghai in 2010 and 2012 were selected. According to two different diagnostic criteria, they were divided into NDDG group (106 cases) and IADPSG group (283 cases). Maternal and infant outcomes were compared between the two groups based on maternal complications, modes of delivery and neonatal outcomes. Results The incidence of polyhydramnios, gestational hypertension, macrosomia, neonatal hypoglycemia and cesarean section in NDDG group were significantly higher than those in IADPSG group (P <0.05). However, postpartum hemorrhage, premature rupture of membranes, The incidence of asphyxia, no significant difference (P> 0.05). Conclusion Using IADPSG diagnostic criteria, more pregnant women can be diagnosed with GDM, their diet and lifestyle interventions can improve the outcome of adverse maternal and infant.