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目的:探讨影响妊娠期糖尿病母儿预后的影响因素。方法:运用统计学方法分析40例妊娠期糖尿病患者临床资料。结果:巨大儿组糖筛查值较非巨大儿组明显升高(P<0.05)。妊娠期糖尿病合并妊高征者HbAlC值较未合并妊高征者明显升高(P<0.05)。母亲酮症酸中毒者其新生儿病率明显升高(P=0.01)。无应激试验无反应型者新生儿窒息率明显升高(P<0.001)。结论:重视糖筛查,降低巨大儿发生率,积极控制血糖、加强产前监护有利于减少妊娠期糖尿病各种母儿并发症的发生。
Objective: To explore the influencing factors of the prognosis of gestational diabetes mothers and children. Methods: The clinical data of 40 patients with gestational diabetes mellitus were analyzed by statistical methods. Results: In macrosomia group, the screening of sugar was significantly higher than non-macroscopic group (P <0.05). The HbAIC in gestational diabetes mellitus with PIH was significantly higher than that without PIH (P <0.05). Mothers with ketoacidosis had a significantly higher neonatal morbidity (P = 0.01). No-response non-stress-type neonates with asphyxia were significantly higher (P <0.001). Conclusion: The emphasis on screening of sugar, reducing the incidence of macrosomia, and actively controlling blood sugar, strengthen prenatal care is conducive to reducing the occurrence of various complications of gestational diabetes mellitus.