IADPSG标准诊断妊娠糖尿病患者（GDM）112例临床疗效分析

目的探讨IADPSG标准诊断妊娠期糖尿病临床疗效。方法对于我院产检孕妇进行血糖筛查试验,阳性者进行葡萄糖耐量试验（OGTT）。按照NDDG和IADPSG两种诊断标准对孕妇进行诊断并分组,按照IADPSG标准共诊断GDM患者112例,给予临床干预后,其母婴结局与NDDG标准诊断的GDM患者90例进行比较。结果两组OGTT空腹值、糖化血红蛋白值比较,差异有统计学意义（P〈0.05）,两组的妊娠期高血压疾病、羊水过多、胎膜早破、胎儿生长受限、新生儿高胆红素血症的发生率、早产儿率及新生儿转科率比较,差异无统计学意义（P〉0.05）,而IADPSG组的剖宫产率、巨大儿比率、新生儿平均出生体重儿显著低于NDDG组（P〈0.05）。结论采用IADPSG诊断标准可有效改善GDM患者的母婴结局。

Clinical analysis of 112 cases of IADPSG diagnostic criteria of gestational diabetes mellitus

Objective:To study the influence of IADPSG diagnostic criteria of gestational diabetes mellitus on pregnancy outcome.Methods:Pregnant women received 50 g glucose screening test(GST).Positive subjects received a 75 g oral glucose tolerance test(OGTT).The diagnosis of GDM were according to two diagnostic criteria: NDDG and IADPSG.The outcomes of the mother and the neonate of the two groups were compared.Results:90 cases met NDDG criterion,112 cases met the IADPSG criterion.Fasting plasma glucose and glycosylated hemoglobin value of two groups were significant difference(P<0.05).There was no significant difference in the incidence of preeclampsia,polyhydramnios,fetal growth restriction,and premature rupture between the two groups(P>0.05).The rate of cesarean section,macrosomia ratio and the average birth weight of NDDG group were significantly higher than that of IADPSG group(P<0.05).Conclusion:IADPSG criterion can effectively reduce the incidence of adverse pregnancy outcomes.