妊娠期糖耐量受损对母婴预后的影响

INFLUENCE OF GESTATIONAL IMPAIRED GLUCOSE TOLERANCE ON MATERNAL AND NEONATAL OUTCOMES

目的探讨妊娠期糖耐量受损(GIGT)对母婴妊娠结局的影响。方法将176例GIGT分为治疗组与不治疗组,治疗组进行饮食控制,对两组病例母婴妊娠结局进行分析。结果治疗组妊娠期高血压疾病、巨大儿、羊水过多、剖宫产率、新生儿窒息、早产儿、新生儿低血糖、新生儿红细胞增多症、新生儿高胆红素血症均明显低于未治疗组(p<0.05)。结论对糖耐量受损的孕妇进行饮食控制可降低孕妇妊娠期并发症、手术产率、围产儿病率,对GIGI孕妇应加强孕期监测。

ObjectiveTo study the effect of the gestational impaired glucose tolerance （GIGT） on maternal and fetal outcome in pregnancy. Methods 176 cases of GIGT were divided into the treated group and non - treated group, the treated group carry out diet control. Maternal and fetal outcomes were analyzed in two groups. Results The rate of pregnant induced hypertension （P1H）, giant fetus ,polyhydramnios, cesarean section, asphyxia of the newborn, premature infant,hypoglycemia,polycythemia and hyperbilirubinemia in the treated group were significantly lower than those in the non - treated group（p 〈 0. 05 ）. Conclusion Diet control of women with GIGT will reduce the rate of gestational complications,cesarean section and sickness in the neonatal. Pregnancy monitoring should be strengthened among women with GIGT.