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目的 研究 GDM对母婴的影响。方法 对 112例 GDM孕妇和 112例健康孕妇的妊娠结局进行分析。采用 1∶ 1配对病例—对照研究 ,配对的条件是孕妇年龄相近 (± 2 ) ,同年同月同医院分娩。结果 GDM孕妇手术分娩率、早产率、妊娠高血压综合征和巨大儿发生率都较对照组高。GDM的及早诊断和及时治疗可使巨大儿发生率降低。与新生儿病率有关的因素是 GDM的严重程度、血糖控制情况及巨大儿。结论 早期诊断 GDM及控制血糖是减少妇婴并发症的关键。
Objective To study the effect of GDM on maternal and infant. Methods The pregnancy outcomes of 112 GDM pregnant women and 112 healthy pregnant women were analyzed. Using a 1: 1 matched case-control study, paired conditions were similar for pregnant women (± 2 years) and same-hospital same-day delivery in the same year. Results GDM pregnant women surgical delivery rate, premature delivery rate, pregnancy-induced hypertension and macrosomia were higher than the control group. GDM early diagnosis and timely treatment can reduce the incidence of macrosomia. Factors related to neonatal morbidity are the severity of GDM, glycemic control, and macrosomia. Conclusion Early diagnosis of GDM and blood sugar control is the key to reduce the complications of women and children.