25例妊娠期糖尿病的母儿影响

The Effect on Mother and Fetus of 25 Cases with Gestational Diabetes Ellitus

[目的]探讨妊娠期糖尿病的母儿并发症。[方法]25例妊娠期糖尿病(GDM)患者,为GDM组。取同期25例正常孕妇为对照组。对其临床经过和母儿影响进行回顾性分析。[结果]妊娠期并发症:GDM组与对照组相比:分别为先兆子痫40%(10)vs 8%(2)、羊水过多32%(8)vs 4%(1)、早产20%(5)vs 4%(1)、剖宫产80%(20)vs 24%(6)、产后出血16%(4)vs 4%(1)、巨大儿36%(9)vs 8%(2),两组差异显著,P<0.01或P<0.05。GDM组的胎儿窘迫[44%(11)]、新生儿窒息[12%(3)]与对照组[12%(3)d 4%(1)]比较,P<0.05。[结论]妊娠期糖尿病的母儿并发症明显增加。强调早期检出,加强对GDM的管理,可以改善母儿结局。

[Objective] To investigate the effect on the mother and fetus in patients with gestational diabetes mellitus（GDM）. [Methods]From June 2005 to June 2007,25 cases with gestational diabetes mellitus were reviewed as a GDM group,and take 25 women with normal prenancy as a control during the same time in our hospital. The clinical course and complication of mother and fetus were analized retrospectively. [Results] The incidence of complications in GDM group are compared with the control group. Pre- eclampsia is 40%（10） vs 8% （2）,polyhydramnios is 32%（8） vs 4% （1） ,premature is 20% （5） vs 4% （1）,cesarean section is 80% （20） vs 24%（6） ,postpartum hemorrhage is 16% （4） vs 4% （1） and macrosomia is 36% （9） vs 8%（2）. There is significant differences between two groups（P〈0.01 or 0. 05）. The fetal distress 44%（11） and neonatal asphyxia 12%（3） in GDM group is higher than the control 12% （3） d 4% （1） respectively （P〈0.01）. FConelusion% The complications of mother and fetus in patients with gestational diabetes mellitus is higher than the normal pregnant women. To emphasize the early detection and enhancement supervision in GDM,the cuteome of mother and fetus can be improved