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目的：探讨妊娠期糖耐量异常对母婴的影响。方法：随机选择１３９例孕妇，作５０ｇ葡萄糖筛选试验（ＧＳＴ），异常者行１００ｇ口服葡萄糖耐量试验（ＯＧＴＴ），比较ＯＧＴＴ正常与异常者的妊娠结局。结果：５０ ｇＧＳＴ阳性率为 ３８．８５ ％，妊娠期糖耐量降低（ ＧＩＧＴ）为 ６． ４７ ％，妊娠期糖尿病（ＧＤＭ）为６． ４７％； ＧＩＧＴ及 ＧＤＭ组中妊高征、胎膜早破、巨大儿、新生儿患病率等明显增加（Ｐ＜０．０１和Ｐ＜０．０５）。结论：妊娠期可发生糖耐量异常，并可导致母婴患病率增加。
Objective: To investigate the impact of gestational impaired glucose tolerance on maternal and infant. Methods: One hundred and ninety-three pregnant women were randomly selected for 50g glucose screening test (GST). Patients with abnormalities were given 100g oral glucose tolerance test (OGTT) to compare the pregnancy outcome between normal and abnormal OGTT. Results: The positive rate of 50 gGST was 38.85%, and the GIGT in pregnancy was 6. 47%, gestational diabetes (GDM) 6. 47%. The prevalences of PIH, premature rupture of membranes, macrosomia and neonates in GIGT and GDM groups were significantly increased (P <0.01 and P <0.05). Conclusion: Impaired glucose tolerance may occur in pregnancy and may lead to an increase in the prevalence of maternal and infant.