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目的探讨国际糖尿病与妊娠关系研究组(IADPSG)制定的妊娠期糖尿病(GDM)新标准对GDM的检出率和围产结局的影响。方法 2011年在镇江市妇幼保健院产检并住院分娩的孕妇均使用第七版《妇产科学》的GDM诊断标准,对这部分孕妇使用IADPSG标准重新诊断后,与2012年直接使用IADPSG标准的孕妇进行围产结局的比较。结果 2011年按照教科书标准,2012年按照IADPSG标准,诊断住院并分娩的GDM孕妇发病率分别为4.9%和17.1%。对2011年的孕妇重新按照IADPSG标准诊断,得出GDM发病率为15.1%,与2012年比较,两组巨大儿、大于胎龄儿、剖宫产发生率分别为9.2%和5.5%、22.5%和15.9%、58.9%和50.2%,差异有统计学意义(P<0.05)。结论 GDM对母儿造成多种危害,与教科书标准相比,使用IADPSG标准可进一步减少围产不良结局的发生。
Objective To explore the influence of the new standard of gestational diabetes mellitus (GDM) developed by the International Diabetes and Pregnancy Study Group (IADPSG) on the detection rate of GDM and perinatal outcome. Methods Pregnant women who were inspected and hospitalized in Zhenjiang Maternal and Child Health Care Hospital in 2011 all used the GDM diagnostic criteria of the seventh edition of Obstetrics and Gynecology. After re-diagnosis of this part of pregnant women using IADPSG standard and pregnant women with direct IADPSG standard in 2012 Comparison of perinatal outcomes. Results According to textbook standards in 2011, the incidence of GDM pregnant women diagnosed in hospital and delivered according to IADPSG standard in 2012 was 4.9% and 17.1% respectively. The diagnosis of pregnant women in 2011 according to IADPSG standard diagnosis, the incidence of GDM was 15.1%, compared with 2012, two groups of giant children, more than gestational age children, cesarean section rates were 9.2% and 5.5%, 22.5% And 15.9%, 58.9% and 50.2%, respectively, with statistical significance (P <0.05). Conclusion GDM caused a variety of hazards to mothers and infants. Compared with textbook standards, the use of IADPSG standard can further reduce the incidence of perinatal adverse outcomes.