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目的探讨妊娠期糖尿病新诊断标准(IADPSG)下GDM的发病率,并分析与妊娠结局的关系.方法我院2011年6月~11月住院分娩1241人,按照:《妇产科学》第6版标准诊断治疗后分娩的妊娠期糖尿病孕妇57例(A 组);2011年12月~2012年5月住院分娩1326人,按照 IADPSG 标准诊断治疗后分娩的妊娠期糖尿病孕妇162例(B 组),计算两组妊娠期糖尿病的发病率,分析两组孕产妇及围生儿并发症的发生 ,并进行统计学分析.结果①《妇产科学》第6版诊断标准下,妊娠期糖尿病发病率为4.59%(57/1241),IADPSG 标准诊断下,妊娠期糖尿病发病率为12.22%(162/1326),明显升高,差异有统计学意义;②分娩孕周 B 组明显大于 A 组,差异有统计学意义;③分娩前空腹血糖控制情况,B 组明显低于 A 组,差异有统计学意义;④ B 组妊娠期高血压疾病、子痫前期、羊水过多、早产、死胎、剖宫产率、巨大儿、新生儿低血糖、新生儿窒息明显低于 A 组,差异有统计学意义(P<0.05).结论妊娠期糖尿病新诊断标准下, GDM 孕妇经过诊治后明显减少了妊娠期并发症,降低了剖宫产率,说明新的诊断标准更有益于母婴保健.“,”Objective: The morbility and pregnancy outcome of gestational diabetes melitus after new diagnostic code (IADPSG).Methods:1241 cases between June 2011 and November 2011 in the hospital patients department of obstetrics of the first affiliated hospital of Soochow University,there were 57 cases (group A) of gestational diabetes melitus according diagnostic code of six edition《obstetrics and gynecology》; 1326 cases between November 2011 and May 2012,there were 162 cases (group B) of gestational diabetes melitus according IADPSG. The morbility of gestational diabetes melitus and the complications of pregnant women and neonatus were analyzed. Results:–The morbility of group B was obviously higher than group A(P<0.05);–The gestational weeks of delivery in group B was obviously higher than group A(P<0.05); ③ The fasting blood glucose of prior to delivery in group B was obviously lower than group A(P<0.05); ④ The incidence rate of pregnancy-induced hypertension disease、eclampsism、hydramnios、premature delivery、fetal death、the rate of uterine-incision delivery、large for date infant、neonatal hypoglycemia、asphyxia neonatorum in group B was obviously lower than group A(P<0.05).Conclusions:According IADPSG,the complications of gestation period and the rate of uterine-incision delivery were obviously lower after treatment in GDM patients, it was beneficial to maternal and infant.