妊娠糖尿病与巨大儿发生相关因素的分析

目的 :探讨妊娠糖尿病孕妇 (GDM)发生巨大儿的相关因素。方法 :将 69例GDM分两组 ,新生儿出生体重 40 0 0g为巨大儿组 2 2例 ,新生儿出生体重 2 5 0 0g～ 3 999g为对照组 47例。对两组的相关因素进行回顾性分析。结果 :巨大儿组产次高于对照组 (p =0 .0 1) ,巨大儿史高于对照组 (p <0 .0 5 )。巨大儿组未治疗者明显高于对照组 (p <0 .0 1) ,在治疗中单纯饮食治疗明显高于对照组 (p <0 .0 1) ,血糖控制不满意明显高于对照组 (p <0 .0 1)。结论 :GDM孕妇的巨大儿发生与产次 ,巨大儿史和孕期血糖控制水平有关。及早诊断 ,及早处理 ,适当加用胰岛素治疗有助于降低巨大儿的产生。

Influence of associated risk factors of gestaional diabetes mellitus and macrosomia

Objective:Influence of associated risk factors of Gestaional Diabetes Mellitus(GDM) and Macrosomia. Methods:22 newborns which birth weight 4000g as macrosomia and 47 newborns which birth weight 2500g-3999g as control group. This was a retrospective study of two group.Results:The history of childbirth in macrosomia's mother was higher than in the control(p=0.01),previous fetal macrosomia was higher than in the control(p<0.05) The untreated people was significantly higher than the control(p<0.01);in the methods of therapy, diet controlling was significantly higher than the control(p<0.01).Conclusion:Macrosomia is related with history of childbirth, previous fetal macrosomia and glucose lever being controlled during pregnancy. The early diagnosis and treatment and make use of insulin play a role in decreasing Gestaional Diabetes Mellitus(GDM) and macrosomia.