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目的探讨妊娠期糖尿病(GDM)对孕妇和胎儿的影响。方法对本院2008年8月至2010年12月收治的46例GDM病人和同期65例健康孕妇的妊娠结局进行回顾性分析。结果在GDM病人中,妊娠高血压疾病的发生率、早产发生率、羊水过多的发生率、剖宫产率、胎儿宫内窘迫及巨大儿并发症发生率均显著高于对照组,2组比较,差异具有显著性(P<0.05。而产后感染、酸中毒、死胎及畸形儿的发生2组比较,差异无显著性(P﹥0.05)。结论对GDM的早期诊断、治疗和围产期管理,可降低GDM母婴并发症。
Objective To investigate the effect of gestational diabetes mellitus (GDM) on pregnant women and fetus. Methods The pregnancy outcomes of 46 GDM patients and 65 healthy pregnant women in our hospital from August 2008 to December 2010 were analyzed retrospectively. Results In GDM patients, the incidence of pregnancy-induced hypertension (BPH), the incidence of preterm birth, the incidence of polyhydramnios, the incidence of cesarean section, fetal distress and macrosomia were significantly higher than those in control group (P <0.05) .No significant difference was found in the incidence of postpartum infection, acidosis, stillbirth and malformation (P> 0.05) .Conclusion The early diagnosis and treatment of GDM and perinatal period Management, can reduce the mother-infant complications of GDM.