妊娠糖尿病对母婴的危害(附43例临床分析)

目的:探讨妊娠糖尿病对母婴的危害。方法:对43例妊娠糖尿病的临床资料进行分析,在孕周、新生儿出生时体重、剖宫产率方面与50例对照组进行统计学比较。结果:妊娠糖尿病组平均孕周明显小于对照组(P<0.01),出生时体重明显高于对照组(P<0.01),剖宫产率明显高于对照组(P<0.01),围产儿死亡率增高。结论:妊娠糖尿病对母婴危害巨大,故对所有孕妇孕24～28周行50g糖筛查,对高危因素孕妇孕32～34周复查,可及早诊断妊娠糖尿病。对妊娠糖尿病及早诊断和治疗、合理控制血糖水平、适时终止妊娠,可减少母婴并发症、降低围产儿死亡率。

The Harm of Pregnancy with Diabetes to Mother and Infant (Add 43 Cases Report)

Objective: To investigate harm of pregnancy with diabetes to mother and infant.Method:The clinical materials of 43 cases of pregnancy with diabetes were analyzed. They were compared statistically with 50 cases of normal group in pregnant weeks, the weight of newborn and the rate of caesarean birth. Result:The mean gestational weeks of pregnancy with diabetes were greatly decreased (P <0.01), weight of newborn clearly heavier (P <0.01) and the rate of caesarean birth higher(P<0.01), the mortality rate of perinatal children increased greatly. Conclusion: Pregnancy with diabetes is of tremendous harm to mother and infant. All pregnant women should be given 50 gram glucose screen examination at 24-28 gestational weeks and high risk ones should be reexamined at 32-34 gestational weeks so that we can recognize pregnancy with diabetes as soon as possible. Diagnosing and treating the cases earlier, controlling the level of glucose rationally and terminating pregnancy in due course can decrease the complications of mother and infant as well as the death rate of perinatal children.