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目的探讨两种妊娠期糖尿病的诊断标准及妊娠结局之间的关系。方法选取进行糖筛查后表现异常而进行葡萄糖耐量试验孕妇794例,按照第7版妇产科教科书诊断的诊断标准和IADPSG提出的诊断标准分为A组和B组,同时选取不符合以上标准的C组,分别为200例、100例和100例,比较三组临床资料、妊娠结局、围产儿结局等。结果 A组羊水过多、胎膜早破、巨大儿、新生儿窒息、妊娠期高血压疾病、新生儿低血糖、剖宫产均高于其他两组,差异有统计学意义(P<0.05)。结论 2010年IASPSG提出的诊断标准在我国推广需谨慎。
Objective To explore the relationship between the diagnostic criteria of two gestational diabetes mellitus and pregnancy outcomes. Methods Seven hundred and seventy-four pregnant women with abnormal glucose tolerance test after glucose screening were divided into A group and B group according to the diagnostic criteria of the 7th obstetrics and gynecology textbook and the diagnostic criteria proposed by IADPSG. At the same time, Of the C group, respectively, 200 cases, 100 cases and 100 cases, the clinical data of three groups, pregnancy outcomes, perinatal outcomes. Results A group of polyhydramnios, premature rupture of membranes, giant children, neonatal asphyxia, gestational hypertension, neonatal hypoglycemia, cesarean section were higher than the other two groups, the difference was statistically significant (P <0.05) . Conclusion The diagnostic criteria proposed by IASPSG in 2010 should be cautiously promoted in our country.