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目的:探讨妊娠期糖尿病及糖耐量受损与孕妇及围生儿结局的关系。方法:对2008年1月~2009年1月妊娠期糖尿病(GDM)孕妇65例(GDM组)、妊娠期糖耐量受损42例(GIGT组)、糖耐量正常孕妇40例(对照组)的孕妇及围生儿结局进行比较。结果:GDM组及GIGT组的妊娠期高血压疾病、巨大儿、胎儿窘迫、羊水过多、胎儿生长受限、胎膜早破、早产发生率及手术产率、新生儿并发症发生率均高于对照组。结论:GDM、GIGT均影响孕妇及围生儿结局,应积极进行孕期糖代谢的筛查,对妊娠期不同程度糖耐量异常应积极进行监测及干预。
Objective: To investigate the relationship between gestational diabetes mellitus and impaired glucose tolerance and pregnant women and perinatal outcome. Methods: From January 2008 to January 2009, 65 pregnant women with GDM (GDM group), 42 impaired glucose tolerance (GIGT group) and 40 pregnant women with normal glucose tolerance (GDM group) Pregnant women and perinatal outcomes were compared. Results: The incidences of gestational hypertension, macrosomia, fetal distress, polyhydramnios, fetal growth restriction, premature rupture of membranes, premature delivery and operative rates and neonatal complications in GDM and GIGT groups were all high In the control group. Conclusion: GDM and GIGT both affect the outcomes of pregnant women and perinatal infants. Screening of glucose metabolism during pregnancy should be actively carried out. Monitoring and intervention should be actively carried out for different levels of impaired glucose tolerance during pregnancy.