妊娠期糖尿病不同诊断标准的围产结局分析

摘要

Objective To study the effect of gestation diabetes mellitus( GDM)effects of different diagnostic criteria on the perinatal outcome. Methods 200 cases of pregnant women to accept glucose screening anddelivery in our hospital were studied,in order to draw randomly divided into the observation group and the control group,the control group adopted diagnostic criteria of GDM in obstetrics and Gynecology",while the observation group used the international diabetes and pregnancy study group( IADPSG)criteria for the diagnosis of GDM. The comparison of two groups of maternal,perinatal outcome. Results In the observation group,the use of"obstetrics and gynecolo-gy" too much,in the diagnosis of amniotic fluid volume of early rupture,macrosomia and respiratory distresssyndrome between the control group and the useful statistical significance( P ﹤0. 05 ). Conclusion compared "obstetrics and gynecology" diagnosis,diagnosis using IADPSG can improve the detection rate of GDM,avoid excessive,premature rupture of the amniotic fluid volumeearly rupture,macrosomia and other adverse symptoms,tomaximize the protection of maternal and child health.%目的：研究妊娠期糖尿病（ GDM）不同诊断标准对围产结局的影响。方法：对接受糖筛查以及分娩的200例产妇进行研究，以抽签随机分组方式分为观察组与对照组，对照组采取《妇产科学》GDM诊断标准，而观察组使用国际糖尿病与妊娠研究组织（ IADPSG）编订的GDM诊断标准，比较两组产妇的围产结局。结果：观察组在羊水量过多、胎膜提前破裂、巨大儿以及呼吸窘迫综合征方面与对照组比较，差异有统计学意义（ P﹤0.05）。结论：相比《妇产科学》GDM诊断标准而言，使用IADPSG编订的GDM诊断标准能够提高GDM并发症检出率，可使产妇避免发生羊水量过多、胎膜提前破裂、巨大儿等不良症状，能够最大限度保障母婴的健康。