| 摘要: |
| ［摘要］ 目的 探究妊娠期糖尿病（GDM）患者的临床表现及妊娠结局，从而对GDM患者可能出现的情况进行预防。方法 选取自2013-01～2014-01入院的138例患GDM孕妇进行各项指标的调查，对于患者妊娠过程中出现的合并症以及分娩后新生儿的情况进行统计和评价，同时对于138例非糖尿病的孕妇进行同样的调查统计，将结果进行对比，分析GDM对妊娠结局及围产儿的影响。结果 通过对比发现在妊娠过程中GDM患者的羊水指数、孕期母体体重以及新生儿分娩体重均高于正常孕妇，差异具有统计学意义(P<0.05)。通过对两组的分娩方式、羊水指数以及胎龄等指标进行对比发现，GDM患者剖宫产的比例、羊水量出现异常情况都要高于正常组，早产例数与正常组也具有明显的差异性(P<0.05)。对比两组的妊娠结局发现，GDM患者合并妊娠期高血压、新生儿并发症及产后出血的发生率要远高出正常组。结论 GDM患者与正常组孕妇相比，其各项指标与妊娠结局有很大的不同，不仅影响孕产妇的身体健康，同时还影响围产儿结局，应该进行提早预防，根据不同的指标进行提前临床干预，减少母体并发症及改善围产儿结局。 |
| 关键词: 妊娠期糖尿病 孕产妇妊娠结局 |
| DOI：10.3969/j.issn.1674-3806.2015.04.04 |
| 分类号:R 71 |
| 基金项目:广西卫计委科研课题（编号：Z2013322） |
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| Analysis on pregnant outcomes of 138 pregnant women with gestational diabetes mellitus |
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ZHANG Chun
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Department of Obstetrics and Gynecology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical manifestations and pregnant outcomes of the patients with gestational diabetes mellitus(GDM) for proventing possible poor situation.Methods The clinical data of pregnant women with GDM(GDM group,n=138) and normal pregnant women during pregnancy(control group,n=138) were collected from January 2013 to January 2014 in the peoples of Guangxi Zhuang Autonomous Region Hospital. The pregnant outcomes and perinatal situation in both groups were analyzed.Results The amniotic fluid index, maternal weight during pregnancy and neonatal birth weight in GDM group were higher than those in the control group with statistic difference(P<0.05). The ratio of cesarean section, the abnormal amniotic fluid, the early dilivery ratio of GDM group were higher than those of the control group(P<0.05); The pregnancy complications in GDM group, such as gestational hypertension, neonatal complications and the incidence of postpartum hemorrhage, were much higher than those in the control group.Conclusion GDM patients have significantly elevated indexes than those of normal pregnant women, so have different pregnant outcomes. Prevention states should be adopted to reduce the risk of GDM related complications. |
| Key words: Gestational diabetes mellitus Pregnant outcomes |
