妊娠期糖尿病160例临床分析

Clinical analysis of 160 patients with gestational diabetes mellitus

目的:探讨妊娠期糖尿病(GDM)对母婴并发症及分娩方式的影响。方法:回顾性分析160例GDM患者,同期正常妊娠妇女145例作为对照组。比较两组母婴并发症及分娩方式的情况。结果:GDM组孕妇的各种并发症及有产科指征剖宫产率的发生率高于对照组(P<0.05);围生儿合并巨大儿、新生儿低血糖的发生率高于对照组(P<0.05,0.01),GDM组新生儿窒息、早产与对照组比较,差异无统计学意义(P<0.05)。结论:妊娠期糖尿病对母婴有较大危害,应及早发现并诊治妊娠期糖尿病。

Objective： To explore the effect of gestational diabetes mellitus （GDM） on maternal complications and delivery mode. Methods： The 160 patients with GDM in 2008 from January to december and 145 normal pregnant women as control group were analysed retrospectively in which maternal complications and delivery mode were compared. Results： Obstetric complications and the incidence of cesarean section rate were higher in GDM group than that of control group （ P 〈 0. 05）. Perinatal combined macrosomia and the incidence of neonatal hypoglycemia were higher in GDM group （ P 〈 0. 05, 0. 01）. There were significantly different（ P 〈 0. 05） in neonatal asphyxia and premature birth between two groups. Conclusion： GDM is a great hazard on mother and infant, which should be early detected and treatmed in order to reduce the incidence of maternal - fetal complications.