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目的评价妊娠期糖尿病(GDM)不同诊断标准与妊娠结局的关系。方法数据主要来源于2000~2003年306医院妇产科收住产妇分娩档案,包括1856个样本。将样本按不同诊断标准分为六组,回顾性评价各组的妊娠结局。结果2000~2003年期间,按中华妇产科学的诊断标准GDM发生率为3.0%,糖耐量异常(GIGT)发生率为3.2%;按妇产科学第6版诊断标准,GDM和GIGT的发生率分别为5.5%和5.9%。GDM及GIGT孕妇巨大儿及早产发生率较正常组增加(P<0.05),而剖宫产率及新生儿窒息发生率无显著性差异(P>0.05)。根据不同诊断标准分组的GDM及GIGT的妊娠结局无显著性差异(P>0.05)。结论不同妊娠期糖尿病诊断标准没有造成妊娠结局的差异,但GDM及GIGT是增加母亲及胎儿发病率的高危因素,积极有效的管理和正确的诊断可改善预后。
Objective To evaluate the relationship between different diagnostic criteria of gestational diabetes mellitus (GDM) and pregnancy outcome. Method data mainly from 2000 to 2003 306 hospital obstetrics and gynecology admitted to the delivery of maternal archives, including 1856 samples. The samples were divided into six groups according to different diagnostic criteria, and the pregnancy outcomes of each group were retrospectively evaluated. Results The prevalence of GDM was 3.0% and the incidence of GIGT was 3.2% according to the diagnostic criteria of Chinese Obstetrics and Gynecology between 2000 and 2003. According to the diagnostic criteria of the 6th edition of Obstetrics and Gynecology, the incidence of GDM and GIGT Respectively 5.5% and 5.9%. GDM and GIGT pregnant women with premature children and premature birth rate was higher than the normal group (P <0.05), while the rate of cesarean section and neonatal asphyxia no significant difference (P> 0.05). According to different diagnostic criteria grouped GDM and GIGT pregnancy outcome no significant difference (P> 0.05). Conclusions The diagnostic criteria of different gestational diabetes mellitus did not cause the difference of pregnancy outcome. However, GDM and GIGT are risk factors for increasing the incidence of maternal and fetal diseases. Active and effective management and correct diagnosis can improve the prognosis.