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目的探讨IADPSG标准诊断妊娠期糖尿病临床疗效。方法对于我院产检孕妇进行血糖筛查试验,阳性者进行葡萄糖耐量试验(OGTT)。按照NDDG和IADPSG两种诊断标准对孕妇进行诊断并分组,按照IADPSG标准共诊断GDM患者112例,给予临床干预后,其母婴结局与NDDG标准诊断的GDM患者90例进行比较。结果两组OGTT空腹值、糖化血红蛋白值比较,差异有统计学意义(P<0.05),两组的妊娠期高血压疾病、羊水过多、胎膜早破、胎儿生长受限、新生儿高胆红素血症的发生率、早产儿率及新生儿转科率比较,差异无统计学意义(P>0.05),而IADPSG组的剖宫产率、巨大儿比率、新生儿平均出生体重儿显著低于NDDG组(P<0.05)。结论采用IADPSG诊断标准可有效改善GDM患者的母婴结局。
Objective To investigate the clinical efficacy of IADPSG in the diagnosis of gestational diabetes mellitus. Methods For pregnant women in our hospital for blood glucose screening tests were positive for glucose tolerance test (OGTT). According to the diagnostic criteria of NDDG and IADPSG, pregnant women were diagnosed and grouped. According to IADPSG criteria, 112 cases of GDM were diagnosed. After the intervention, the maternal and infant outcomes were compared with 90 cases of GDM patients diagnosed by NDDG. Results The fasting blood glucose and glycosylated hemoglobin of the two groups were significantly different (P <0.05). The incidences of gestational hypertension, polyhydramnios, premature rupture of membranes, fetal growth restriction, hypercholesterolemia The incidence of hyperlipidemia, premature infants and neonatal morbidity rate, the difference was not statistically significant (P> 0.05), while IADPSG group of cesarean section rate, macrosomia ratio, neonatal mean birth weight was significant Lower than NDDG group (P <0.05). Conclusion The diagnostic criteria of IADPSG can effectively improve the maternal and infant outcome in patients with GDM.