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选取2012年9月~2016年4月期间170例GDM,根据产前一周内的血糖水平分为轻度组,FPG为(6.09±1.17)mmol/L;中度组,FPG为(8.67±1.59)mmol/L;重度组,FPG为(11.81±1.62)mmol/L。结果:中度组和重度组产妇出现高血压、产后出血、羊水过多、胎膜早破、产后感染例均高于轻度组,重度组又高于中度组,(P<0.05);中度组和重度组新生儿出现低体重儿、巨大儿、高胆红素血症、新生儿窒息、早产比例均高于轻度组,重度组又高于中度组(P<0.05)。结论:妊娠后期,产妇的血糖水平越高越不利于产妇的妊娠结局和新生儿结局。
170 cases of GDM were selected from September 2012 to April 2016, and were divided into mild group and FPG group (6.09 ± 1.17) mmol / L according to the blood glucose level during the first week of prenatal period; FPG was (8.67 ± 1.59) ) mmol / L; severe group, FPG (11.81 ± 1.62) mmol / L. Results: The incidences of hypertension, postpartum hemorrhage, polyhydramnios, premature rupture of membranes and postpartum infection were higher in moderate and severe group than those in mild group and severe group (P <0.05). The incidence of low birth weight infants, macrosomia, hyperbilirubinemia, neonatal asphyxia and preterm birth in moderate and severe neonates were higher than those in mild and severe groups, respectively, but higher than those in moderate and severe groups (P <0.05). Conclusions: The higher the level of blood glucose in a pregnant woman during the second trimester of pregnancy, the worse the pregnancy outcome and neonatal outcome.