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目的:探讨妊娠期糖代谢异常对母儿预后的影响。方法:2003年6月~2007年8月在大同市第一人民医院诊断为妊娠期糖代谢异常的孕妇162例,其中妊娠期糖尿病(GDM)组58例,妊娠期糖耐量减低(G IGT)组104例,另选择150例血糖值正常孕妇作为血糖正常(GNGT)组,比较3组的母儿预后。结果:GDM组孕妇产后即时出血、剖宫产、妊娠期高血压疾病、羊水过多、巨大儿、早产儿和新生儿低血糖的发生率均显著高于GNGT组(P<0.05);G IGT组剖宫产、羊水过多、巨大儿的发生率显著高于GNGT组(P<0.05)。结论:妊娠期糖代谢异常对孕产妇和围生儿的预后有不良影响,应对妊娠期糖代谢异常的孕产妇进行积极干预。
Objective: To investigate the influence of abnormal glucose metabolism during pregnancy on the prognosis of maternal and child. Methods: From June 2003 to August 2007, 162 pregnant women with abnormal glucose metabolism in gestation were diagnosed in the First People ’s Hospital of Datong City. Among them, 58 cases were gestational diabetes mellitus (GDM) group, with gestational impaired glucose tolerance (GIGT) Group (n = 104). Another 150 normal pregnant women with normal blood glucose level were selected as the group with normal blood glucose (GNGT). The prognosis of the three groups was compared. Results: The incidence of postpartum immediate bleeding, cesarean section, gestational hypertension, polyhydramnios, macrosomia, premature neonates and neonates with hypoglycemia in GDM group were significantly higher than those in GNGT group (P <0.05). GGT Cesarean section group, polyhydramnios, macrosomia were significantly higher than the GNGT group (P <0.05). Conclusion: Abnormal glucose metabolism during pregnancy has an adverse effect on the prognosis of pregnant women and perinatal children, and should actively intervene in the pregnant women with abnormal glucose metabolism during pregnancy.