糖尿病合并妊娠和妊娠期糖尿病母儿并发症诊治探讨

目的:探讨妊娠合并糖尿病的母婴并发症及诊治。方法:回顾性分析83例糖尿病合并妊娠患者(A组)及90例妊娠期糖尿病患者(B组)的临床资料,并比较其妊娠结局,包括孕产妇并发症(妊娠期高血压疾病、胎膜早破、DKA、早产、羊水过多、胎儿宫内窘迫、剖宫产率、产后出血)及新生儿并发症(巨大儿、新生儿低血糖、胎死宫内、RDS、畸形、窒息)。结果:A组的孕妇并发症除产后出血较B组明显升高;巨大儿、新生儿低血糖、胎死宫内、畸形的发生率明显升高,差异有显著性(P<0.05)。结论:糖尿病合并妊娠对孕妇及胎儿有更大的危害,要加强对其孕前、孕期及孕后的管理。

Diagnosis and Treatment of Maternal and Neonatal Complications in Diabetes Complicating Pregnancy and Gestational Diabetes Mellilus

Objective: To explore the maternal and neonatal complications of diabetes complicating pregnant, and related diagnosis and treatments. Methods: The data of 83 cases of pregnant patients complicated with diabetes (A group) and 90 cases gestational diabetes mellitus (GDM)(B group) were analyzed retrospectively. Maternal and neonatal complications including pregnant-induced hypertension, premature rupture of membrane, DKA, preterm delivery, polyhydramnios, fetal distress, fetal death, rate of caesarean section, postpartum hemorrhage, fetal macrosomia, neonatal hypoglycemia, RDS, and congenital malformations were compared between the two groups. Results: The pregnancy complications exclude postpartum hemorrhage in A group were significant higher than those in B group. The incidences of fetal macrosomia, neonatal hypoglycemia, fetal death were also higher in A group when compared to B group (P<0.05). Conclusions: Pregnant women complicated with diabetes have more severe hazards on mother and neonatal, we should enhance managements to these women in progestation, duration of pregnancy, and post -labour.