不同孕期终止妊娠对妊娠期糖尿病围生儿结局的影响

目的 探讨不同孕期终止妊娠对妊娠期糖尿病围生儿结局的影响.方法 以本院待产的妊娠期糖尿病孕妇为研究对象,根据孕期分为A组（孕周28～36周）、B组（孕周37～39周）、C组（孕周＞39周）,统计各组围生儿疾病发生率、死亡率以及巨大儿的发生率.结果 B组围生儿疾病发生率、围生儿死亡率明显少于其他两组;血糖控制好的孕妇分娩后情况普遍好于血糖控制不好者.结论 严格控制妊娠期糖尿病孕妇的血糖,在孕周37～39周终止妊娠可以明显降低围生儿死亡、疾病以及巨大儿的发生率.

Impact of pregnancy termination in different gestations on the outcomes of gestational diabetes mellitus perinatal infants

Objective To discuss the impact of pregnancy termination in different gestations on the outcomes of gesta- tional diabetes mellitus（GDM） perinatal infants. Methods GDM pregnant women awaiting delivery in our hospital were taken as research objects and they were divided into A group （28-36 gestational weeks）,B group （37-39 gestational weeks）,C group（〉39 gestational weeks） according to gestation.The incidence rate of morbidity,mortality and macrosomia in three groups were counted. Results The incidence rate of morbidity,mortality infants of B group was lower than that of other two groups;pregnant women with properly controlled blood sugar had better conditions after delivery than that of poor controlled blood sugar patients. Conclusion Strictly controlling the blood sugar of GDM pregnant women and terminate pregnancy at 37-39 gestational weeks can obviously reduce the incidence rate of morbidity,mortality and macrosomia.