妊娠期糖尿病结局及对新生儿影响的临床分析

目的探讨妊娠期糖尿病（GDM）对新生儿结局的影响。方法该院2012年3月—2014年6月期间收集妊娠期糖尿病90例作为研究对象,并随机抽取同期住院的非妊娠期糖尿病90例作为对照组,比较两组孕产妇所分娩新生儿的结局。结果 GDM组分娩的新生儿剖宫产娩出率、巨大儿、早产儿、新生儿低血糖、新生儿窒息、RDS、新生儿高胆红素血症的发生率明显高于正常对照组,差异有统计学意义（P〈0.01）。提示妊娠糖尿病对于新生儿有较大危害。结论应注意孕早期血糖筛查及控制妊娠期糖尿病非常重要,以力争减少新生儿不良结局的发生。

Clinical Analysis of the Gestational Diabetes Mellitus Outcome and Its Impact on the Newborns

Objective To investigate the effects of gestational diabetes mellitus （GDM） on neonatal outcome. Methods 90 cases with gestational diabetes mellitus from March 2012 to June 2014 were selected as the subjects and 90 pregnant women without gestational diabetes mellitus hospitalized during the same period were selected as the control group. The outcome of the newborns s delivered by the two groups of pregnant women was compared. Results The neonatal cesarean section rate, incidence of macroso- mia, premature infants, neonatal hypoglycemia, neonatal asphyxia, RDS, neonatal hyperbilirubinemia of the GDM group were obvi- ously higher than those of the normal control group with statistical difference （P〈0.01）, suggesting that GDM has great harm to newborns. Conclusion Paying attention to blood glucose screening in the early stage of pregnancy and controlling gestational dia- betes mellitus are very important for reducing the occurrence of adverse neonatal outcome.