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目的了解新妊娠期糖尿病诊断标准实施后妊娠期糖尿病(GDM)发生现状及围产结局。方法对2012年10月-2012年12月期间在海淀区妇幼保健院分娩的孕产妇资料进行回顾性分析,统计妊娠期糖尿病(GDM)的发生率及围产结局。结果①妊娠期糖尿病发生率为22.92%。GDM组妊娠年龄、孕前体重和体重指数均高于血糖正常的对照组;②在孕早期和孕中期,GDM组体重增长明显高于对照组,但整个孕期体重总增长比较,GDM组低于对照组,差异有统计学意义;③基础血糖、糖耐量筛查(OGTT)结果是GDM组高于对照组,但糖化血红蛋白两组比较差异无统计学意义;④两组新生儿体重、巨大儿发生率及剖宫产率差异无统计学意义。结论新标准诊断管理孕产妇,围产结局较为满意;孕早、中期体重增加过快可能与存在妊娠期糖尿病危险因素有关,通过在孕早期及早进行干预可能会降低GDM的发生率。
Objective To understand the status of gestational diabetes mellitus (GDM) and the perinatal outcome after the implementation of diagnostic criteria for new gestational diabetes mellitus. Methods Retrospective analysis of maternal data about maternal and childbirth in Haidian MCH between October 2012 and December 2012 was conducted. The incidence of gestational diabetes mellitus (GDM) and perinatal outcome were calculated. Results ① The incidence of gestational diabetes was 22.92%. GDM group gestational age, pre-pregnancy weight and body mass index were higher than normal control group; ② in the first trimester and second trimester, the body weight of GDM group was significantly higher than the control group, but the total weight gain during pregnancy was lower than the control group Group, the difference was statistically significant; ③ basic glucose and glucose tolerance screening (OGTT) results in the GDM group was higher than the control group, but no significant difference between the two groups of glycosylated hemoglobin; ④ two groups of neonatal weight, macrosomia occurred Rate and cesarean section rate difference was not statistically significant. Conclusions The new standard of diagnosis and management of pregnant women, perinatal outcome is more satisfied; early pregnancy, mid-term weight gain may be related to the presence of risk factors of gestational diabetes, by early intervention in early pregnancy may reduce the incidence of GDM.