妊娠期糖尿病不同诊断标准对母婴结局影响分析.docVIP

妊娠期糖尿病不同诊断标准对母婴结局影响分析 　　【摘要】目的：探讨不同的妊娠期糖尿病（GDM）诊断标准对围产期母婴结局的影响，为临床提供指导和帮助。方法：选择2012年1月至2013年12月在我院产科门诊进行糖尿病筛查并于我院分娩的2200例孕产妇作为研究对象，将其随机分成观察组和对照组各1100例，其中对照组按照我国第7版《妇产科学》中的妊娠期糖尿病诊断标准进行诊断，观察组按照国际糖尿病于妊娠研究组（IADPSG）制定的妊娠期糖尿病诊断标准进行诊断，比较两组孕妇的GDM检出率、妊娠期并发症、分娩方式以及新生儿并发症的发生率。结果：对照组共检出61例（555%），观察组共检出87例（791%），两组比较差异具有统计学意义（P005）；观察组胎膜早破和羊水过多的发生率明显低于对照组，同时观察组新生儿低血糖、新生儿呼吸窘迫综合征以及巨大儿的发生率低于对照组，两组比较差异具有统计学意义（P005）。结论：按照IADPSG制定的GDM诊断标准进行诊断，能有效降低胎膜早破、羊水过多等妊娠期并发症的发生，降低剖宫产率，同时也降低了巨大儿以及新生儿呼吸窘迫综合征的发生，可有效改善围产期母婴结局，适合推广应用。 　　【关键词】妊娠期糖尿病；母婴结局；诊断标准 　　Effect of different diagnostic criteria for gestational diabetes on maternal and infant outcomesCHI Hongfei1， HUANG Yinping2， WANG Qinfang1， KE Rushu1. 1. Department of Obstetrics and Gynecology， Ruian MCH Hospital， Wenzhou 325200， China； 2.Department of Obstetrics， the First Hospital Affiliated to Wenzhou Medical University， Wenzhou 325200， China 　　【Abstract】Objectives： To explore effect of different diagnostic criteria for gestational diabetes on maternal and infant outcomes， so as to provide clinical guidance and help. Methods： 2200 pregnant women in the obstetric clinic of our hospital for diabetes screening from January 2012 to December 2013 were selected and randomly divided into observation group and control group， with 1100 cases in each group. According to China’s seventh edition of Obstetrics and Gynecology， the diagnostic criteria for diagnosis of gestational diabetes were used for control group. Pregnancy diagnostic criteria of （IADPSG） developed in accordance with the international diabetes diagnosis was used for observation group. Detection rate of GDM， pregnancy complications， mode of delivery and the incidence of neonatal complications in the two groups were compared. Results： 61 cases were detected in the control group （555%） and 87 cases were detected in the observation group （7.91%）， with statistically significant difference （P 　　【Key words】Gestational diabetes； Maternal and infant outcomes； Diagnostic criteria 　　【中图分类