妊娠期糖尿病两种不同诊断标准对妊娠结局的影响

摘要

Objective To explore the influence of two different diagnostic criteria of gestational diabetes on pregnancy outcomes. Methods From January 2011 to December 2012,800 primiparae visited our hospital for antenatal care were selected.Among them,50 primiparae were diagnosed as gestational diabetes from January to December 2011 based on the diagnostic criteria in Obstetrics and Gynecology (GO;7th edition) with chief editor of LE Jie.Another 60 primiparae were diagnosed as gestational diabetes from January to December 2012 following the diagnostic criteria of International Association of Diabetic Pregnancy Study Group (IADPSG).The pregnancy outcomes of primiparae and neonates between two groups was observed and compared respectively. Results The cesarean section rate and birth weight of newborns in IADPSG group was significantly lower than that in GO group respectively,with statistical differences (P<0.05).The inci-dences of gestational hypertension,premature rupture of fetal membranes,polyhydramnios,neonatal jaundice,and prema-ture infants didn't display significant difference between two groups(P>0.05). Conclusion Application of IADPSG diag-nostic criteria can improve diagnostic the rate of gestational diabetes.Scientific and reasonable lifestyle intervention and requisite treatment can reduce the occurrence of adverse pregnancy outcomes.%目的：探讨妊娠期糖尿病两种不同诊断标准对妊娠结局的影响。方法选取2011年1月~2012年12月来我院产检的初产妇800例,其中2011年1~12月采用乐杰主编的第7版《妇产科学》(GO)中妊娠期糖尿病诊断标准诊断妊娠期糖尿病孕妇50例,2012年1~12月采用国际糖尿病与妊娠研究组(IADPSG)诊断标准诊断妊娠期糖尿病孕妇60例。观察比较两组孕妇的妊娠结局。结果IADPSG组孕妇剖宫产率及新生儿出生体重明显低于GO组,差异有统计学意义(P<0.05)；两组孕妇妊娠高血压综合征、胎膜早破、羊水过多及新生儿黄疸、早产儿发生率比较,差异无统计学意义(P>0.05)。结论采用IADPSG诊断标准能提高妊娠期糖尿病诊断率,科学、合理的生活方式干预及必要的治疗,可减少不良妊娠结局的发生。