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目的分析妊娠期糖尿病母亲的新生儿出现早期并发症的情况及母孕期血糖控制水平对早期新生儿血脂水平的影响。方法观察209例诊断妊娠糖尿病母亲的新生儿早期并发症情况,并根据血糖控制情况,分为血糖控制满意组和血糖控制不满意组,比较两组新生儿的血脂水平。结果妊娠糖尿病母亲的新生儿易出现新生儿高胆红素血症、低血糖、感染、巨大儿、新生儿肺透明膜病等并发症,孕母血糖控制满意组与血糖控制不满意组比较,新生儿早期甘油三脂及低密度脂蛋白胆固醇水平差异有统计学意义(P<0.05),总胆固醇及高密度脂蛋白胆固醇水平差距无统计学意义(P>0.05)。结论母亲患妊娠期糖尿病是新生儿的高危因素,易发生新生儿高胆红素血症、低血糖、感染、巨大儿、新生儿肺透明膜病等早期并发症,孕期血糖控制良好对新生儿早期血脂水平存在影响。
Objective To analyze the early complications of neonatal mothers with gestational diabetes mellitus and the influence of the level of blood sugar control during the first trimester on the level of blood lipid in early neonates. Methods The early complications of 209 newborns with gestational diabetes mellitus were observed and divided into two groups according to their glycemic control: blood glucose control satisfaction group and blood glucose control dissatisfaction group. Results Neonates with gestational diabetes mellitus were prone to complications of neonatal hyperbilirubinemia, hypoglycemia, infection, macrosomia and neonatal hyaline membrane disease. Compared with those who were not satisfied with the control group, Neonatal triglyceride and low density lipoprotein cholesterol levels were significantly different (P <0.05), total cholesterol and high-density lipoprotein cholesterol levels had no significant difference (P> 0.05). Conclusion The mothers with gestational diabetes mellitus are risk factors for newborn infants. It is easy to have neonatal complications of hyperbilirubinemia, hypoglycemia, infection, macrosomia and neonatal hyaline membrane disease. The glycemic control during pregnancy is good for newborns There is an effect on early blood lipid levels.