妊娠期糖耐量受损.pptVIP

妊娠期糖耐量受损对妊娠预后的影响 纪立平1 ，吴连方2 中图分类号：R714 [摘要] 目的：探讨糖耐量受损对 妊娠预后的影响。 方法: 将157例糖耐量损者 及55例妊娠期糖尿 病患者与1315例正 常者的妊娠预后进行 比较。 结果：糖耐量受损组巨大儿, 新生儿窒息率, 合并妊 娠期高血压疾病、剖 宫产率明显高于正常 组，糖耐量受损组孕 妇年龄较大，孕前体 重较重。 结论： 糖耐量受损孕妇妊娠 期并发症、手术产率、 围生儿病率均高于正 常孕妇。 [关键词] 糖耐量试验 妊娠预后 围生儿 The effect of impaired glucose tolerance on pregnancy outcome JI Liping1 WU Lianfang2 1.Maternal and Child Health Hospital of Pinggu District in Beijing,Pinggu Beijing ,101200, China; 2.Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing, 100026, China [Abstract] Objective:To investigate the effect of impaired glucose tolerance on pregnancy outcome. Methods: The study group consisted of 157 pregnant women with impaired glucose tolerance (IGT) and 55 pregnant women with gestational diabetes mellitus (GDM), the control group consisted of 1315 normal pregnant women, and we compare the outcomes of the women. Results: The rate of fetal macrosomia, neonatal asphyxia, hypertensive disorder complicating pregnancy and Cesarean Section in the study group is significantly higher than those in the control group. The age of the study group is older than that of the control group and the body weight before pregnancy of the study group is higher than that of the control group. Conclusion: The pregnant complications, the rate of cesarean section and the perinatal morbidity in the pregnant women complicated with IGT is higher than normal pregnant women. [Key words] oral glucose tolerance test. pregnant outcome. perinatal infant 妊娠期糖尿病 gestational diabetes mellitus,GDM 是在妊娠首次发现或发生的糖代谢异常 妊娠期糖耐量受损 impaired glucose tolerance, IGT 为早期的血糖稳态改变，只是介于正常血糖和GDM血糖之间的中间状态或过渡阶段[1]。 GDM对母儿危害大 妊娠期孕妇并发症 高血压疾病 羊水过多 巨大儿 早产 感染 酮症酸中毒等 对围生儿影响 新生儿代谢异常 新生儿呼吸窘迫综合征neonatal res