比较妊娠期糖尿病新旧诊断标准对母亲的影响

发布时间：2018-07-09 22:01

本文选题：妊娠期糖尿病 + 新旧诊断标准　；参考：《实用妇科内分泌杂志(电子版)》2016年16期

【摘要】：目的探讨比较妊娠期糖尿病新旧诊断标准对母亲的影响。方法回顾性分析2016年1月~2016年6月在我院产科检查的600例孕妇的临床资料,采用妊娠期糖尿病旧诊断标准检查的300例孕妇作为对照组,采用妊娠期糖尿病新诊断标准检查的300例产妇作为观察组,比较两组妊娠期糖尿病发病率、孕妇妊娠结局、新生儿结局。结果观察组妊娠期糖尿病发病率明显高于对照组,差异有统计学意义(P0.05);观察组剖宫产率、妊娠期高血压率、早产率明显高于对照组,差异有统计学意义(P0.05);两组羊水过多率、胎膜早破率、产后出血率,差异无统计学意义(P0.05);观察组巨大儿、早产儿与对照组相比,差异有统计学意义(P0.05);两组新生儿窒息、低体重儿、新生儿黄疸、新生儿低血糖不明显,差异无统计学意义(P0.05)。结论采用妊娠期糖尿病新诊断标准可提高妊娠期糖尿病的诊断率,利于临床早期采取血糖控制措施,减少孕妇并发症的发生,并减少血糖对母婴的危害,改善孕婴妊娠结局。
[Abstract]:Objective to study the influence of the new and old diagnostic criteria of gestational diabetes mellitus (GDM) on mothers. Methods the clinical data of 600 pregnant women undergoing obstetric examination in our hospital from January 2016 to June 2016 were retrospectively analyzed. 300 pregnant women with gestational diabetes mellitus (GDM) were used as the control group. A total of 300 pregnant women with gestational diabetes mellitus (GDM) were used as observation group. The incidence of gestational diabetes mellitus (GDM), pregnancy outcome and neonatal outcome were compared between the two groups. Results the incidence of gestational diabetes mellitus in the observation group was significantly higher than that in the control group, the difference was statistically significant (P0.05); the cesarean section rate, pregnancy hypertension rate and premature delivery rate in the observation group were significantly higher than those in the control group (P0.05); the amniotic fluid excess rate in the two groups was significantly higher than that in the control group (P0.05). The rate of premature rupture of membranes, the rate of postpartum hemorrhage, there was no statistical significance (P0.05); the observation group macrosomia, premature infants compared with the control group, the difference was statistically significant (P0.05); the two groups of neonatal asphyxia, low birth weight infants, neonatal jaundice, neonatal hypoglycemia is not significant, The difference was not statistically significant (P0.05). Conclusion using the new diagnostic standard of gestational diabetes mellitus can improve the diagnostic rate of gestational diabetes mellitus, which is beneficial to the early clinical measures to control blood sugar, reduce the occurrence of complications of pregnant women, reduce the harm of blood sugar to mother and child, and improve the pregnancy outcome of pregnant infants.
【作者单位】：内蒙古牙克石市内蒙古林业总医院健康体检科;
【分类号】：R714.256

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