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目的 :评估妊娠期糖尿病患者的危险因素,并且探讨该因素对母婴结果的影响。方法 :收集2013年1月~2014年9月本院收治的妊娠期糖尿病186例,设为研究组;收集同期在本院生产的健康产妇206例,设为对照组,并记录研究组和对照组患者的临床资料。结果 :研究组在分娩方式剖宫产、胎膜早破、产后出血、子痫前期、羊水过多、羊水过少、羊水污染、早产、胎盘早剥、妊娠期高血压病、酮症酸中毒、胎儿宫内窘迫的发生率高于对照组,差异有统计学意义;研究组在巨大儿、新生儿窒息、低体重儿、新生儿低血糖、新生儿肺炎、新生儿高胆红素血症、新生儿畸形的发生率高于对照组,差异有统计学意义。结论 :高龄、家族糖尿病史及孕前肥胖为妊娠期糖尿病患者的危险因素,并且对母婴结果有较大的危害。
Objective: To evaluate the risk factors of gestational diabetes mellitus, and to explore the impact of this factor on maternal and infant outcomes. Methods: A total of 186 gestational diabetes patients admitted to our hospital from January 2013 to September 2014 were enrolled in the study group. 206 healthy mothers were collected during the same period in our hospital. The study group and the control group Group of patients with clinical data. Results: The study group in the delivery mode of cesarean section, premature rupture of membranes, postpartum hemorrhage, preeclampsia, polyhydramnios, oligohydramnios, amniotic fluid contamination, premature delivery, placental abruption, gestational hypertension, ketoacidosis , The incidence of fetal distress was higher than the control group, the difference was statistically significant; the study group in the huge children, neonatal asphyxia, low birth weight children, neonatal hypoglycemia, neonatal pneumonia, neonatal hyperbilirubinemia , The incidence of neonatal malformations than the control group, the difference was statistically significant. Conclusion: The elderly, family history of diabetes mellitus and pre-pregnancy obesity are risk factors for gestational diabetes mellitus, and have a greater harm to maternal and infant outcomes.