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目的 :探讨妊娠期糖耐量降低 (GIGT)对孕妇、胎儿及新生儿的影响。方法 :对 6 40例孕妇作 5 0g葡萄糖负荷试验 ,阳性者进一步作 75g葡萄糖耐量试验 ,对GIGT孕妇 32例 (GIGT组 ) ,正常孕妇 30例 (对照组 )的妊娠结局进行比较。结果 :GIGT组孕妇妊高征、胎儿窘迫发生率高于对照组 (P <0 .0 5 ) ,巨大儿发生率明显高于对照组 (P <0 .0 1) ,生后 2小时血糖均值低于对照组 (P <0 .0 1) ,新生儿低血糖发生率高于对照组 (P <0 .0 5 ) ,新生儿发病率高于对照组 ,但差异无显著性。结论 :GIGT也是影响孕妇、胎儿及新生儿预后的重要因素
Objective: To investigate the effect of gestational impaired glucose tolerance (GIGT) on pregnant women, fetus and newborn. Methods: A total of 640 pregnant women underwent glucose loading test. The positive patients were further given 75g glucose tolerance test. The pregnancy outcomes of 32 pregnant women with GIGT (GIGT group) and 30 normal pregnant women (control group) were compared. Results: The incidence of pregnancy induced hypertension and fetal distress in GIGT group was significantly higher than that in control group (P <0.05). The incidence of macrosomia in GIGT group was significantly higher than that in control group (P <0.01) The incidence of hypoglycemia in neonates was higher than that in control group (P <0.05). The incidence of neonates was higher than that of control group, but the difference was not significant. Conclusion: GIGT is also an important factor affecting the prognosis of pregnant women, fetuses and newborns