摘要
目的探讨妊娠糖代谢异常对妊娠结局的影响。方法收集2014年1月~2015年3月期间在我院进行定期产检及分娩的产妇275例,根据血糖水平将研究对象分为三组：妊娠期糖尿病组（GDM组）60例、妊娠期糖耐量异常组（GIGT组）65例、对照组150例,比较三组妊娠结局、分娩方式、新生儿结局。结果 GDM组、GIGT组子痫前期、羊水过多、巨大儿、早产率与对照组比较明显较高,差异有统计学意义（P〈0.05）。GDM组及GIGT组剖宫产率明显高于对照组,差异有统计学意义（P〈0.05）;GDM组、GIGT组新生儿窒息、新生儿低血糖症、高胆红素血症发生率高于对照组,差异有统计学意义（P〈0.05）。结论妊娠期糖代谢异常会对妊娠结局造成严重影响,应加强妊娠期糖代谢异常孕妇的管理工作,及时采取相应的措施进行干预,以改善母婴的预后。
Objective To investigate the effects on glucose metabolism pregnancy pregnancy outcome. Methods All 275 cases of mothers giving birth for regular check-ups were selected from January 2014 to March 2015 in our hos- pital, according to blood glucose levels they were divided into three groups, gestational diabetes mellitus （GDM group） had 60 cases, gestational sugar tolerance abnormal group （GIGT group） had 65 cases, 150 cases in the control i group, the pregnancy outcomes, mode of delivery and neonatal outcome of three groups were compared. Results Preg- nancy outcomes, the preeclampsia, polyhydramnios, great children, premature birth rate of GDM group, GIGT group was significantly higher than the control group, the difference was statistically significant（P〈0.05）. Mode of delivery, the cesarean section rate of GDM group and GIGT group was significantly higher, the difference was statistically significant （P〈0.05） ; Neonatal outcomes, the asphyxia, neonatal hypoglycemia, hyperbilirubinemia TRs hyperlipidemia incidence of GDM group, GIGT group was higher than the control group, the difference was statistically significant （P〈0.05）. Conclusion The abnormal glucose metabolism during pregnancy will have serious impact pregnancy outcome, should pregnant women with abnormal glucose metabolism during pregnancy to strengthen the management, promptly take ap- propriate measures to intervene to improve the prognosis of mother and child.
出处
《中国现代医生》
2015年第23期47-49,共3页
China Modern Doctor
关键词
妊娠
糖代谢异常
妊娠期糖尿病
Pregnancy
Abnormal glucose metabolism
Gestational diabetes
