妊娠期糖尿病59例临床分析

目的探讨妊娠期糖尿病对孕产妇并发症、围生儿并发症的影响。方法回顾性分析2006年4月-2012年9月在我院分娩的59例妊娠期糖尿病作为观察组与未发生糖尿病的正常孕产妇59例作为对照组，对围生儿并发症以及孕产妇情况作比较分析。结果观察组围生期早产儿、巨大儿、死胎、新生儿低血糖、新生儿高胆红素血症明显高于对照组，差异有统计学意义（P〈0．05）；观察组孕妇早产、酮症酸中度、羊水过多高于对照组，差异有统计学意义（P〈0．05）其他与对照组比较差异均无统计学意义（P〉0．05）。结论妊娠期糖尿病对围生儿以及孕产妇并发症有明显影响，需加强孕期管理，减少母婴并发症。

CLINICAL CHARACTERISTICS OF GESTATIONAL DIABETES MELLITUS OF 59 CASES

Objective To analyze the affect of gestational diabetes mellitus （GDM） on maternal complications and perinatal complications. Methods A total of 59 cases of GDM as case group and the normal maternal diabetes in 59 cases as control group were retrospectively analyzed between April 2006 and September 2012 in author＇s hospital childbirth, perinatal and maternal complications were compared. Results The premature infants, macrosomia, stillbirth, and neonatal hypoglycemia, neonatal high bilirubin blood disease were significantly higher in the case group than that in the control group, with statistical difference （P〈0.05） ;. Premature, ketosis acid medium, hydramnios were also higher in the case group than that in the control group, with statistical difference （P〈0.05） , others had no statistical significance （P〉0.05）. Conclusion Gestational diabetes have obvious effects on perinatal and maternal complications, it is need to strengthen the management and clinical treatment during pregnancy to reduce maternal and infant complications.