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目的:探讨妊娠期糖尿病(gestational diabetes mellitus,GDM)的母儿预后,为有针对性地开展和评估GDM母儿预后提供科学依据。方法:选择郑州圣玛妇产医院2011年12月～2012年12月收治的109例孕妇的临床资料,54例经检查为妊娠期糖尿病孕妇(研究组),另外55例为身体健康的正常孕妇(对照组)。观察两组孕妇妊娠结局及婴儿状态。结果:研究组孕妇早产、妊高征、产后出血、巨大儿、胎膜早破、胎儿窘迫、羊水过多发生率均明显高于对照组(P<0.05)。研究组孕妇新生儿高胆红素血症、低血钙、低血糖以及新生儿转科率均明显高于对照组(P<0.05)。结论:妊娠期糖尿病孕妇妊娠结局异常率比较高,早期针对妊娠期糖尿病孕妇进行护理干预,明显降低孕妇和新生儿的异常率,改善围生期并发症。
Objective: To investigate the maternal and neonatal prognosis of gestational diabetes mellitus (GDM) and to provide a scientific basis for carrying out and evaluating the prognosis of GDM. Methods: The clinical data of 109 pregnant women admitted to Zhengzhou Shengma Maternity Hospital from December 2011 to December 2012 were selected. 54 pregnant women with gestational diabetes mellitus (study group) and 54 healthy pregnant women (Control group). Observation of two groups of pregnant women pregnancy outcomes and infant status. Results: The incidence of preterm birth, pregnancy induced hypertension, postpartum hemorrhage, macrosomia, premature rupture of membranes, fetal distress and amniotic fluid in study group were significantly higher than those in control group (P <0.05). In the study group, the neonatal hyperbilirubinemia, hypocalcemia, hypoglycemia and neonatal transfer rate in pregnant women were significantly higher than those in the control group (P <0.05). Conclusion: The abnormal pregnancy rate of pregnant women with gestational diabetes mellitus is relatively high. Early intervention in pregnant women with gestational diabetes mellitus can significantly reduce the abnormal rate of pregnant women and newborns and improve the complications of perinatal period.