妊娠期糖耐量异常对新生儿的影响

Impact of gestational diabetes mellitus and gestational impaired glucose tolerance on the neonatal infant

目的探讨妊娠期糖尿病(GDM)及糖耐量减低(G IGT)对围产儿的影响。方法对近2年来在我院诊断为GDM和G IGT的孕妇及同期血糖正常孕妇所分娩的新生儿共1442例进行回顾性分析。结果GDM组和G IGT组孕妇的巨大儿发生率均高于对照组,早产儿、足月小于胎龄儿、RDS、红细胞增多症、吸入性肺炎的发生率与对照组相近。新生儿低血糖发生率:GDM组高于对照组,G IGT组与对照组相近。结论GDM、G IGT对围产儿有不利影响,孕期应积极控制孕妇血糖等,并做好新生儿监护及治疗。

Objective Find out the impact of gestational diabetes mellitus(GDM) and gestational impaired glucose tolerance(GIGT) on the perinatal infant.Method To carry out a retrospective analysis of 1442 newborn infants who were borned with GDM,GIGT and normal pregnant women in our hospital in the last 2 years.Results The incidence of macrosomia of pregnant women with GDM and GIGT was higher than those of the normal group.The rate of neonate hypoglycemia of GDM group was higher than those of the normal group,but simi...