目的 探讨妊娠期糖尿病新诊断标准对母婴结局的影响. 方法 回顾性总结在该院产科自2012年5月—2013年5月分娩的65例妊娠期糖尿病孕妇(观察组)与65例低危孕妇(对照组)的围生期结局. 比较两组妊娠期并发症、分娩孕周、分娩方式及围生儿并发症. 结果 采用妊娠期糖尿病新诊断标准后,应用胰岛素治疗的孕妇占妊娠期糖尿病的10.0%,比较两组患者胎膜早破、羊水异常以及产后出血差异无统计学意义(P>0.05).比较顺产和剖宫产,发现差异有统计学意义(P<0.05);比较两组新生儿巨大儿、新生儿窒息、早产儿、黄疸等症状,发现差异无统计学意义(P>0.05).比较两组新生儿低血糖、转儿科率发现观察组显著高于对照组,差异有统计学意义(P<0.05). 结论 妊娠期糖尿病采用新诊断标准,主动实施孕期体重管理以及膳食指导,必要时应用胰岛素治疗,能够有效控制母儿并发症的发生率.%Objective To explore the influence on maternal and infant through new diagnostic criteria for the Diabetes Mellitus in Pregnancy. Methods The retrospective in obstetric hospital from May 2012 to May 2013 delivery of 65 cases of gestational diabetes in pregnant women (study group) and 65 cases of low-risk pregnant women (control group) Perinatal outcome. Pregnancy complications between the two groups, gestational age, mode of delivery and perinatal child complications. Results With the new diagnostic criteria of gestational diabetes, insulin therapy in pregnant women accounted for 10.0% of gestational diabetes were compared in patients with premature rupture of membranes, amniotic fluid abnormalities, and postpartum hemorrhage was no significant difference (P>0.05). Comparison of birth and cesarean section, found statistically significant (P<0.05);two groups of neonatal huge child, neonatal asphyxia, premature children, jaundice and other symptoms, found no statistically significant difference (P>0.05). Comparison of the two groups of neonatal hypoglycemia, turn pediatrics rate found in the observation group was significantly higher, the difference was statistically significant (P<0.05). Conclusion Gestational diabetes diagnostic criteria, adopting the new initiative before pregnancy weight management and dietary guid-ance, insulin treatment when necessary, can effectively control the incidence of complications.
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