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目的:分析秦皇岛地区妊娠期糖代谢异常现状及其对母婴预后的影响。方法:对2009年1月～2011年5月在秦皇岛市妇幼保健院产科门诊就诊的16 787例孕妇进行50 g葡萄糖筛查试验(GCT),阳性者进一步行75 g葡萄糖耐量试验(OGTT),并观察其妊娠结局。结果:GCT阳性者2 807例,妊娠期糖尿病(GDM)发生率为2.21%,妊娠期糖耐量异常(GIGT)发生率为2.54%,GDM组剖宫产率、早产率、羊水过多及新生儿并发症明显高于50 g GCT正常组(P<0.05)。结论:GDM发病率较高,并可导致母婴并发症增加,因此对存在GDM高危因素的孕妇尤其应重视对GDM的早期诊断、早期治疗,以降低母婴并发症,改善妊娠结局。
Objective: To analyze the current status of abnormal glucose metabolism during pregnancy in Qinhuangdao and its effect on the prognosis of maternal and infant. Methods: A total of 16 787 pregnant women attending obstetric outpatient clinics in Qinhuangdao MCH from January 2009 to May 2011 underwent 50 g glucose screening test (GCT), and 75 g glucose tolerance test (OGTT) And observe the pregnancy outcome. Results: There were 2 807 GCT positive cases with gestational diabetes mellitus (GDM) incidence of 2.21%, gestational impaired glucose tolerance (GIGT) incidence of 2.54%, GDM group cesarean section rate, preterm birth rate, polyhydramnios and neonatal Complications of children were significantly higher than those of 50 g GCT normal group (P <0.05). Conclusion: The incidence of GDM is high, which can lead to the increase of maternal and infant complications. Therefore, pregnant women with high risk of GDM should pay more attention to the early diagnosis and early treatment of GDM in order to reduce the complications of maternal and infant and improve the pregnancy outcome.