妊娠合并糖尿病对母婴并发症的影响

Effect of Gestational Diabetes Mellitus on Maternal and Neonatal Complications

目的探究妊娠合并糖尿病对母婴并发症的影响。方法将2010年1月至2015年1月来我院就诊的145例妊娠合并糖尿病患者(糖尿病组)作为研究对象,并选取同期来我院行健康体检的非糖尿病孕妇126例为对照(非糖尿病组)。对两组母婴并发症的发生情况进行对比分析。结果与非糖尿病组相比,糖尿病组宫内感染、剖腹产、产后出血、妊娠高血压等产科并发症明显增高(P<0.05);围产儿低血糖症、巨大儿、窒息、新生儿呼吸窘迫综合症、先天畸形等并发症发生率高(P<0.05);产妇病死率、围产儿新生重症监护室(NICU)入院率、病死率高(P<0.05)。结论对于妊娠合并糖尿病患者,临床上应该加强妊娠期间的血糖控制工作,应尽早住院观察。

Objective To explore the effect of gestational diabetes mellitus on maternal and neonatal complications.Methods 145 cases of gestational diabetes mellitus（ DM group） patients in our hospital between January 2010 and January 2015 were selected as the study subjects,and 126 cases of non-diabetic pregnant women in our hospital during the same period were selected as control group（ non-diabetes group）. The occurrence of maternal and neonatal complications in the two groups were compared and analyzed. Results Compared with non-diabetic group,the intrauterine infection,cesarean section,postpartum hemorrhage,pregnancy induced hypertension and other obstetric complications of DM group were significantly higher（ P〈0. 05）; The incidence of perinatal hypoglycemia,fetal asphyxia,neonatal respiratory distress syndrome,congenital malformation and other complications were high（ P〈0. 05）; The maternal mortality,perinatal neonatal intensive care unit（ NICU） admission rate and the mortality rate were high（ P〈0. 05）. Conclusion For pregnant women with diabetes,clinical treatment should be strengthened in the blood glucose control during pregnancy,and patients should also be hospitalized as soon as possible.