妊娠期糖尿病120例临床分析

目的探讨妊娠期糖尿病对母婴结局影响。方法 120例妊娠期糖尿病者作为观察组,按照1:1比例选择正常的孕妇120例作为对照组,比较母体[自然流产、妊高征、羊水过多、分娩期并发症(宫缩乏力、发生产程延长及产后出血)]及围产儿[死胎及新生儿死亡、胎儿宫内发育受限(fFGR)、巨大儿]情况的差异。结果妊娠期糖尿病母体自然流产、妊高征、羊水过多、分娩期并发症比例高(P<0.05);围产儿死胎及新生儿死亡、FGR、巨大儿也较正常的孕妇组多(P<0.05)。结论妊娠期糖尿病对母婴危害较大,应加强孕期保健,早期筛查、诊断,合理治疗;适时终止选择合适方式中止妊娠。

Objective To investigate the effect of gestational diabetes mellitus on Maternal and infant. Methods 120 patients with gestational diabetes mellitus were selected as observation group, and 120 healthy women were enrolled as control. The differences between the matrix （spontaneous abortion, pregnancy-induced hypertension syndrome, hydrarrmios, uterine inertia, delivery delayed and postpartum hemorrhage） and perinatal child dead fetus or neonatal death, fetal growth restriction and macrosomia were observed. Results In observation group, the rate of spontaneous abortion, pregnancy-induced hypertension syndrome, hydramnios and delivery period complication were higher than control group （P〈0.05）; dead fetus in perinatal period, neonatal death, fetal growth restriction and macrosomia were also higher （P〈0.05）. Conclusion Gestational diabetes mellitus is harmful to matrix and fetus, it is necessary to strengthen antenatal care, early screening, diagnosis and rational therapy are also important; suitable methode should be used to discontinue pregnancy under certain circumstances.