妊娠期糖尿病结局的临床分析

The Clinical Analysis on the outcome of Neonates and pregnant women with Gestation Diabetes Mellitus

目的探讨妊娠期糖尿病（ Gestation Diabetes Mellitus, GDM ）对孕产妇和新生儿结局的影响。方法回顾性分析42例GDM患者（GDM组）和50例正常妊娠妇女（对照组）的临床资料。结果GDM组和对照组妊娠期高血压综合征的发生率分剐为31．0％和8．0％，羊水过多的发病率分别为23．8％和4．0％，剖宫产率分别为90．5％和62．0％，巨大儿发生率分别为26．1％和4．0％，新生儿低血糖发病率分别为16．7％和0．0％，新生儿窒息的发生率分别为9．5％和2．0％，GDM组各项数据均明显高于对照组（P〈0．05），有统计学意义。结论GDM组的孕妇和新生儿的发病率均明显高于对照组，提倡早期筛查及治疗妊娠期糖尿病，可减少母婴并发症。

Objective To investigate the outcome of the neonates and pregnant women with gestational dia- betes mellitus （GDM）. Methods The clinical data resulting from forty - two patients with GDM （ the group of GDM） and fifty pregnant women （the control group） was retrospectively reviewed. Results Compared with con- trol group, the morbidity of pregnant women and neonates in group of GDM was higher than that in the control group. Conclusion This study suggested that diabetes mellitus screening tests should be performed in all pregnant women and it could decrease the complications of the neonates and pregnant women.