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目的分析妊娠期糖尿病母亲的新生儿(IDMS)并发症情况,为临床管理IDMS提供参考依据。方法选取618例IDMS作为观察对象,采取回顾性分析方法,观察IDMS早期并发症情况。结果 3年来,我院IDMS发病率依次为2.03%、2.78%、7.75%;IDMS早期并发症中发病率最高的依次是:大于胎龄儿(包括巨大儿)、高胆红素血症、先天性心脏病、低血糖症。糖尿病母亲妊娠期血糖控制不良组的新生儿中大于胎龄儿、低血糖症、先天性心脏病、产伤、窒息发病率明显高于血糖控制良好组。结论 3年来我院收治的IDMS发病率逐年上升,其中大于胎龄儿、高胆红素血症、先天性心脏病、低血糖症发病率较高,母亲妊娠期积极控制血糖程度可减少新生儿早期并发症发生。
Objective To analyze the complications of newborn infants (IDMS) in gestational diabetic mothers and to provide reference for clinical management of IDMS. Methods 618 cases of IDMS were selected as the observation object, and the retrospective analysis method was adopted to observe the early complications of IDMS. Results The incidence rates of IDMS in our hospital were 2.03%, 2.78% and 7.75% respectively in the past three years. The highest incidence rates of IDMS in early complications were as follows: infants older than gestational age (including macrosomia), hyperbilirubinemia, Sexual heart disease, hypoglycemia. The incidence of gestational age, hypoglycemia, congenital heart disease, birth trauma and asphyxia in neonates with gestational diabetes mellitus was significantly higher in diabetic mothers than in those with good glycemic control. Conclusions The incidence of IDMS admitted to our hospital increased year by year in three years, of which, the incidence of IDMS was higher than that of gestational age, hyperbilirubinemia, congenital heart disease and hypoglycemia. The positive control of blood sugar level during pregnancy could reduce neonatal Early complications occur.