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糖尿病是一种多发病,妊娠合并糖尿病的发生率占总妊娠数的0.66~2%。糖尿病,特别是胰岛素依赖型者母亲的围产期死亡率曾高达15~20%,近年已降至4~5%。孕期血糖的控制与围产期死亡率关系密切,据Karlsson等报告孕末期母血糖控制在100mg%以下,围产期死亡率为38‰;高于150mg%者则增加6倍,且本病孕妇常伴发预痫、肾盂肾炎、羊水过多或酮症酸中毒等,其新生儿则常有低血糖、低血钙、高胆红素血症、呼吸困难综合征、先天性畸形等,使围产期死亡的危险性增高。孕
Diabetes is a frequently-occurring disease, the incidence of pregnancy with diabetes accounted for 0.66 ~ 2% of the total number of pregnancies. Perinatal mortality has been as high as 15-20% for mothers with diabetes, especially insulin-dependent mothers, and has been reduced to 4-5% in recent years. Pregnancy blood glucose control and perinatal mortality are closely related, according to Karlsson and other reports at the end of pregnancy, maternal blood sugar control in less than 100mg%, perinatal mortality was 38 ‰; more than 150mg% were increased 6-fold, and the disease pregnant women Often accompanied by pre-eclampsia, pyelonephritis, polyhydramnios or ketoacidosis, etc., their newborns are often hypoglycemia, hypocalcemia, hyperbilirubinemia, dyspnea syndrome, congenital malformations, so that Increased risk of perinatal death. pregnant