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目的:探讨妊娠期糖尿病(GDM)孕期筛查及妊娠结局。方法:选择2011年3月至2011年12月产前系统检查确诊为GDM并住院分娩的孕妇53例作为观察组,随机选择同期未进行系统产前检查,确诊时间较晚的GDM孕妇60例作为对照组,对比两组间妊娠结局。结果:观察组妊娠高血压、子痫前期、羊水过多、产后出血均低于对照组,两组比较有统计学意义(P<0.05)。两组剖宫产率比较无显著性差异。观察组巨大儿、早产儿、新生儿窒息发生率明显低于对照组(p<0.05)。结论:孕期筛查妊娠期糖尿病,加强孕期管理,控制血糖,可减少母儿并发症的发生。
Objective: To investigate gestational diabetes mellitus (GDM) during pregnancy screening and pregnancy outcomes. Methods: From March 2011 to December 2011, 53 pregnant women diagnosed as GDM and hospitalized for delivery were selected as the observation group. Sixty pregnant women with GDM at the late diagnosis period were randomly selected as the observation group. Control group, comparing the pregnancy outcome between the two groups. Results: The incidence of pregnancy-induced hypertension, preeclampsia, polyhydramnios and postpartum hemorrhage were all lower in the observation group than in the control group (P <0.05). There was no significant difference between the two groups in cesarean section rate. The incidence of asphyxia in observation group was significantly lower than that in control group (p <0.05). Conclusion: Pregnancy screening for gestational diabetes mellitus, strengthening pregnancy management, controlling blood sugar, can reduce the occurrence of maternal and child complications.