妊娠期糖尿病高龄孕妇的母婴结局分析

The analysis of elder pregnant women with GDM and their infants

目的:探讨高龄孕妇妊娠期糖尿病的母婴结局。方法:选择高龄孕妇364例作为研究对象,以同期分娩的非高龄孕妇5 410例作为对照,探讨高龄孕妇中糖尿病的发生情况,并对其孕产期并发症、围生儿预后及分娩方式进行对比分析。结果:高龄组糖尿病发生率为非高龄组的3.6倍(P<0.05),剖宫产、早产、巨大儿、妊娠高血压疾病、羊水过多、胎儿宫内窘迫、新生儿窒息、新生儿低血糖发生率两组无显著性差异(P>0.05)。结论:妊娠期糖尿病是危害孕妇及围产儿的疾病,年龄越大发病率越高,但若及时诊断和治疗,可减少母婴并发症的发生。

Objective ： To investigate the outcome of those elder pregnant women with gestational diabetes mellitus（GDM） and their infants. Methods： Choose some pregants giving delivery at the same term,include the elder 364 cases, the yonger 5410 cases, compared their GDM morbidity, pregnancy complications, outcome of preinatal infants and delivery methods. Results： The GDM morbidity in the elder women is 3.6 times as the others,there have a significance difference （p 〈 0.05）. But the factors about cesarean section,premature delivery, macrosomia fetal, pregancy in- duced hypertension, polyhydramnios, intrauterine growth retardation （IUGR） , newborn asphyxia and new born hypoylycemia between two groups have no significance difference （p 〉 O. 05 ）. Con- clusion： GDM is a risk factor of pregnants and infants, and it＇ s morbidity is hightening with the age. Giving dignosis and cure in time maybe reduce the rates of maternal complications.