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目的:探讨妊娠期糖尿病(GDM)引发的妊娠并发症和对围产儿的影响。方法:2005年6月~2007年6月对住院诊断为GDM的患者,与同期正常孕妇进行对照,回顾性分析其临床经过和母子影响。结果:GDM组妊娠期母子并发症发生率:先兆子痫40%、羊水过多32%、早产20%、剖宫产80%、产后出血16%,巨大儿36%、胎儿窘迫44%、新生儿窒息12%,较对照组均有显著差异。结论:妊娠期糖尿病的母子并发症明显增加,应加强对GDM的管理,改善母子结局。
Objective: To investigate the complications of pregnancy caused by gestational diabetes mellitus (GDM) and its effects on perinatal children. Methods: From June 2005 to June 2007, patients with diagnosed GDM in hospital were compared with normal pregnant women in the same period, and their clinical experiences and mother-child effects were retrospectively analyzed. Results: The incidence of mother-child complications during pregnancy in GDM group was 40% of preeclampsia, 32% of polyhydramnios, 20% of premature birth, 80% of cesarean section, 16% of postpartum hemorrhage, 36% of macrosomia, 44% of fetal distress, Children asphyxia 12%, compared with the control group were significantly different. Conclusion: Maternal and neonatal complications of gestational diabetes mellitus significantly increased, management of GDM should be strengthened to improve the mother-child outcome.