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目的:探讨妊娠期糖尿病(GDM)与母婴结局的关系及相关的处理措施。方法:回顾性收集2007年1月～2010年12月在广西医科大学第一附属医院产科住院分娩的GDM单胎孕产妇病案资料232例作为GDM组,随机选择同期分娩的非GDM单胎孕产妇243例作为对照组,对两组相关资料进行对照分析。结果:GDM组孕产妇剖宫产、妊娠期高血压疾病、产后出血的发生率均高于对照组,两组比较差异有统计学意义(P<0.01);GDM组巨大儿、胎儿生长受限、新生儿低血糖、新生儿高胆红素血症的发生率和新生儿转新生儿科治疗率均高于对照组,两组比较差异有统计学意义(P<0.05);GDM组新生儿窒息发生率高于对照组,但两组比较差异无统计学意义(P>0.05)。结论:及时发现GDM并对GDM孕妇进行合理治疗,有利于降低剖宫产率,减少母婴并发症。
Objective: To investigate the relationship between gestational diabetes mellitus (GDM) and maternal and infant outcomes and related measures. Methods: A retrospective collection of January 2007 to December 2010 in the First Affiliated Hospital of Guangxi Medical University obstetric delivery of GDM single-fetus maternal medical records of 232 cases as a GDM group, a random selection of non-GDM single-birth pregnant women 243 cases as a control group, the two groups of relevant data for controlled analysis. Results: The incidence of cesarean section, gestational hypertension and postpartum hemorrhage in GDM group were significantly higher than those in control group (P <0.01). There was no significant difference between the GDM group , Neonatal hypoglycemia, the incidence of neonatal hyperbilirubinemia and neonatal neonatal treatment rate were higher than the control group, the difference between the two groups was statistically significant (P <0.05); GDM neonatal asphyxia The incidence was higher than the control group, but there was no significant difference between the two groups (P> 0.05). Conclusion: The timely detection of GDM and rational treatment of GDM pregnant women are helpful to reduce the rate of cesarean section and reduce the complications of mother and infant.