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目的:探讨观察临床上妊娠期糖尿病孕妇的情况,并研究糖尿病对孕妇妊娠结局的影响。方法:以3488例2013.1.1.-2014.1.1.之间在我院接受妊娠检测的孕妇为研究对象,根据孕妇75g糖耐量试验结果的不同将妊娠中期孕妇分为两组,即正常组和观察组(妊娠期糖尿病组),人数分别为3380例和108例,对两组孕妇的妊娠结局进行观察和对比。结果:调查结果显示,观察组孕妇的妊娠结局在羊水过多、新生儿高胆红素血症、胎儿窘迫、低血钙、胎膜早破、巨大儿、低血糖、产后出血、新生儿转科、妊高征及其早产发生率上与正常组孕妇相比较要高出许多,差异具有统计学意义(P<0.05)。结论:目前临床上妊娠期糖尿病的发病率较高,对母婴的妊娠结局均造成了严重的影响,因此必须加强对妊娠期糖尿病孕妇的早期干预,保证母婴的安全,将不良妊娠结局降低和避免。
Objective: To investigate the clinical situation of pregnant women with gestational diabetes mellitus, and study the effect of diabetes on pregnant women’s pregnancy outcome. Methods: A total of 3488 pregnant women with pregnancy test in our hospital from January 1, 2013 to January 2014 were enrolled in this study. According to the results of 75g glucose tolerance test, pregnant women of the second trimester were divided into two groups, Observation group (gestational diabetes mellitus group), the number was 3380 cases and 108 cases, the pregnancy outcome of two groups of pregnant women were observed and compared. Results: The results of the survey showed that pregnant women in the observation group had multiple pregnancies with polyhydramnios, neonatal hyperbilirubinemia, fetal distress, hypocalcemia, premature rupture of membranes, macrosomia, hypoglycemia, postpartum hemorrhage, The prevalence of PIH, PIH and their preterm birth were much higher than those of the normal pregnant women, the difference was statistically significant (P <0.05). Conclusion: At present, the prevalence of gestational diabetes in clinics is high, which has a serious impact on the pregnancy outcomes of both mother and infant. Therefore, it is necessary to strengthen the early intervention of pregnant women with gestational diabetes to ensure the safety of mother and infant and reduce the adverse pregnancy outcome And avoid.