妊娠期糖尿病98例临床分析

目的 探讨妊娠期糖尿病的及时诊断、规范化管理与妊娠结局的关系.方法 回顾性分析98例在笔者所在医院分娩的妊娠期糖尿病（GDM组）与随机选择同期正常的孕妇100例（对照组）患者的母婴预后情况.结果 GDM组98例患者中,64例（65.3%）无糖尿病典型临床表现但有糖尿病高危因素存在或因妊娠高血压综合征重复检查而确诊,50 g葡萄糖负荷试验、75 g葡萄糖耐量试验是筛选、诊断妊娠期糖尿病的主要手段 经治疗和监测,妊娠期糖尿病的并发症中除早产、羊水过多明显高于对照组（P〈0.05）,巨大儿发生率低于对照组（P〈0.05）外,余并发症与对照组相比差异无统计学意义.结论 及时诊断、积极治疗可明显改善母婴预后.

Clinical study on gestational diabet mellitus of 98 patients

Objective To study the relationship between pregnancy outcomes and the early diagnosis and routine therapy of GDM. Methods The pregnancy outcomes of 98 patients with GDM and no normal pregnant women （control group） who dellvered in this hospital were retrospectively analyzed. Results 64 patients with GDM who have high risk factor of GDM or gestational hypertension without the typical clinical manifestation were final diagnosed by re - examination. 50 g glucose challenge test （GDM） and long oral glucose tolerance test （OGTr） are the major method of the screening and diagnosing GDM. The incidence of premature, hydramnios was higher in group GDM （ P 〈 0. 05 ）. The incidence of fatal macrosonia was higher in control group （ P 〈0. 05 ）. The incidence rates of the rest complication of the two groups had no obviously difference. Conclusion The early diagnosis and routine therapy can obviously improve the outcome of pregnancy in GDM.