妊娠期糖尿病不同诊断标准与妊娠结局分析

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妊娠期,诊断标准,妊娠,糖尿病,结局
妊娠期糖尿病不同诊断标准与妊娠结局分析

李云;郑芸;张颖娟

【期刊名称】《齐齐哈尔医学院学报》【年(卷),期】2015(036)031

【摘要】Objective To explore the use of different diagnostic criteria of gestational diabetes mellitus (GDM) and its effect on gestational outcome.Methods The clinical data of pregnant women who had routine prenatal examine and delivery in the second people's hospital of Jintancity from January 2012 to December 2014 were analyzed.They were diagnosed GDM according to International Association of Diabetes and Pregnancy Study Groups (IADPSG) standard (IADPSG group) or according to the seventh edition ofObstetrics and Gynecologystandard (Obstetrics and Gynecology group).The incidence of GDM,mode of delivery and gestational outcomes of women with GDM were evaluated.Results The incidence of GDM in IADPSG group (16.19%) was significantly higher than that in Obstetrics and Gynecology group (12.35%).The cesarean section rate of IADPSG group was lower than Obstetrics and Gynecology group,the differences were statistically significant(P<0.05).There were no obvious differences in the incidence of gestational hypertension syndrome,postpartum hemorrhage and fetal distress.The incidences of amniotic fluid,premature rupture of membranes,macrosomia and neonatal hypoglycemia in Obstetrics and Gynecology group were significantly

higher than that in IADPSGgroup(P<0.05).In the premature and low birth weight infants,there were no significant difference between the two groups(P>0.05).Conclusions The diagnosis of GDM using IADPSG standard has important implications for reducing the adverse gestational

outcomessuch as amniotic fluid and premature rupture of membranes and macrosomia.%目的探讨采用不同诊断标准诊断妊娠期糖尿病(gestational diabetes mellitus,GDM)对妊娠结局的影响.方法选取2012年1月至2014年12月金坛市第二人民医院产前检查并分娩的孕妇,根据诊断标准的不同分为两组,一组按国际糖尿病与妊娠研究组(IADPSG)标准进行诊断,另一组按照《第七版妇产科学》标准进行诊断,比较两组对象GDM检出率、分娩方式及妊娠结局的差异.结果 IADPSG组的GDM的发病率(16.19%)的明显高于《妇产科学》组

(12.35%),(P<0.05),IADPSG组剖宫产率低于《妇产科学》组,差异有统计学意义(P<0.05).两组孕妇妊高征、产后出血、胎儿窘迫的发生率无明显差异(P>0.05),但《妇产科学》组羊水过多、胎膜早破、巨大儿、新生儿低血糖的发生率明显高于IADPSG组(P<0.05),在早产及低出生体重儿方面,两组无显著差异(P>0.05).结论与第七版《妇产科学》诊断标准相比,IADPSG标准诊断GDM发病率明显升高,采用IADPSG标准对减少羊水过多、胎膜早破、巨大儿、新生儿低血糖等不良妊娠结局有重要意义.

【总页数】3页(P4692-4694) 【作者】李云;郑芸;张颖娟

【作者单位】213200 江苏金坛市第二人民医院妇产科;213200 江苏金坛市第二人民医院妇产科;213200 江苏金坛市第二人民医院妇产科

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