妊娠期糖尿病60例母婴结局临床分析

Effect of gestational diabetes mellitus on pregnancy outcome: an analysis of 60 cases

目的探讨妊娠期糖尿病对母婴结局的影响。方法将2010年11月至2012年11月期间我院诊治的60例妊娠期糖尿病患者作为观察组,选取同期60例正常妊娠孕妇作为对照组,比较两组孕妇的并发症、分娩方式以及围产儿情况。结果与对照组比较,观察组妊高征(21.7% vs 3.3%)、早产(23.3% vs 1.7%)、羊水异常(16.7% vs 3.3%)、胎儿窘迫(26.7% vs 3.3%)等并发症的发生率显著升高,剖宫产率明显增高(48.3% vs 23.3%),顺产率显著降低(41.7% vs 71.7%),而巨大儿(16.7% vs 1.7%)、新生儿窒息(13.3% vs 1.7%)、足月低体质量儿(13.3% vs 0.0%)的发生率明显增高,其差异均具有统计学意义(P<0.05)。结论妊娠期糖尿病对母婴危害较大,应及早诊断、及早治疗,降低并发症的发生率。

Objective To study the effect of gestational diabetes mellitus on pregnancy outcome. Methods Six- ty patients with gestational diabetes in our hospital from Nov. 2011 to Nov. 2012 were regarded as the observation group, and 60 normal pregnant women were regarded as the control group. The maternal complications, delivery mode and perinatal child condition were compared between the two groups. Results Compared with the control group, the incidence of the maternal complications such as pregnancy hypertension （21.7% vs 3.3%）, preterm （23.3% vs 1.7%）, abnormal anmiotic fluid （16.7% vs 3.3%） and fetal distress （26.7% vs 3.3%） were obviously increased in the observa- tion group. The incidence of cesarean section was higher （48.3% vs 23.3%） and the eisyield ratio was lower signifi- cantly （41.7% vs 71.7%） in the observation group. The incidence of huge children （16.7% vs 1.7%）, neonatal asphyxia （13.3% vs 1.7%） and low-qality children with full-term （13.3% vs 0.0%） was significantly increased in the observation group, P〈0.05. Conclusion The gestational diabetes mellitus have more danger to maternal and child. Early diagno- sis and early treatment can reduce the incidence of complications.