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目的:分析GDM高危因素和孕妇及胎儿结局相关性。方法:择取2016年2月-2017年2月我院收治的36例GDM者为研究对象。调查相关资料,分析GDM高危因素和胎儿以及孕妇结局相关性情况。结果:年龄、孕次、BMI以及糖尿病家族史与GDM发生存在相关性。孕前BMI,疾病家族史,年龄对于GDM发生影响显著,其中孕前BMI危险系数最高。相较于健康对照组,GMD组发生巨大儿以及胎儿窘迫概率明显较高,P<0.05。结论:GDM有着相对高的首诊漏诊率。高龄、家族史、孕前体重为引起该疾病发生的高危因素。其对于产妇以及新生儿均有一定危害性。相较于正常孕产妇,GDM者发生不良妊娠的概率较高。
Objective: To analyze the correlation between risk factors of GDM and maternal and fetal outcomes. Methods: Choose 36 cases of GDM admitted to our hospital from February 2016 to February 2017 as the research object. Investigate relevant data and analyze the correlation between risk factors of GDM and fetal and maternal outcomes. Results: There was a correlation between age, gestational age, BMI and family history of diabetes and GDM. Pre-pregnancy BMI, family history of disease, age had a significant impact on GDM, with the highest risk factor for pre-pregnancy BMI. Compared with the healthy control group, the probability of macrosomia and fetal distress in GMD group was significantly higher (P <0.05). Conclusion: GDM has a relatively high first diagnosis rate of missed diagnosis. Older age, family history, pre-pregnancy weight are risk factors for the disease. It is harmful to both mothers and newborns. Compared with normal pregnant women, GDM patients have a higher probability of adverse pregnancy.