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目的分析妊娠期糖尿病(gestational diabetes mellitus,GDM)对孕妇和围产儿的危害,为临床防治GDM提供依据。方法 2007年1月—2010年1月分娩的正常孕妇53例作为对照组,61例GDM孕妇作为观察组,产后对两组孕妇的妊娠并发症及围产儿情况进行比较。结果孕妇并发症发生率对照组9.4%,观察组45.9%;围产儿并发症发生率对照组18.9%,观察组83.6%。结论 GDM对孕妇及围产儿的危害比较严重,在孕期必须对孕妇进行有效的筛查,对GDM高危孕妇进行早期综合干预,以降低GDM发生率,改善母婴健康状况。
Objective To analyze the risk of gestational diabetes mellitus (GDM) to pregnant women and perinatal children and provide the basis for clinical prevention and treatment of GDM. Methods 53 cases of normal pregnant women delivered from January 2007 to January 2010 were selected as the control group and 61 GDM pregnant women as the observation group. The postpartum pregnancy complications and perinatal conditions were compared between the two groups. Results The incidence of complications in pregnant women was 9.4% in the control group and 45.9% in the observation group. The incidence of perinatal complications was 18.9% in the control group and 83.6% in the observation group. Conclusions GDM is more harmful to pregnant women and perinatals. During pregnancy, pregnant women must be screened effectively and early comprehensive intervention for GDM high-risk pregnant women should be carried out to reduce the incidence of GDM and improve maternal and infant health.