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目的:探讨妊娠期糖尿病(GDM)孕中期筛查范围及其临床意义。方法:选择2007年9月～2008年1月住院分娩的GDM孕妇12例作为观察组(GDM组),随机选择同期50 g葡萄糖负荷试验正常的孕妇48例作为对照组,对比两组间妊娠结局。结果:GDM组孕妇妊高征、羊水过多、巨大儿与对照组比较,差异有统计学意义(P<0.05);剖宫产率两组比较差异无统计学意义(P>0.05);对照组早产发生率较GDM组低,差异有统计学意义(P<0.01)。结论:孕中期广泛筛查,做好孕期管理,尽可能的使孕妇血糖控制在正常范围或接近正常范围,以减少围生期并发症的发生。
Objective: To explore the second trimester screening of gestational diabetes mellitus (GDM) and its clinical significance. Methods: Twelve hospitalized GDM pregnant women from September 2007 to January 2008 were selected as the observation group (GDM group). Forty-eight pregnant women with normal 50 g glucose load during the same period were selected as the control group. Pregnancy outcome was compared between the two groups . Results: Pregnancy-induced hypertension and polyhydramnios in GDM group were significantly different from those in control group (P <0.05). There was no significant difference between the two groups in GDM group (P> 0.05) The incidence of preterm birth was lower in GDM group (P <0.01). Conclusion: The second trimester of screening extensive screening, good pregnancy management, as far as possible to control the blood glucose in pregnant women in the normal range or near normal range, in order to reduce the occurrence of perinatal complications.