新妊娠期糖尿病诊断标准对围生期母儿结局的影响

摘要

Objective To explore the significance of application of new diagnostic criteria for gestational diabetes mellitus assessed perinatal outcome.Methods GDM diagnostic criteria from January 2011 to December 2012 in our hospital ( diagnostic standard of old new pregnancy) of 932 cases of maternal for group A, the new diagnostic criteria of GDM from 2013 to 2014 on 01 December in our hospital ( IADPSG) of 893 cases of maternal for group B, for the diagnostic rate of GDM was observed, and the analysis of outcome of pregnancy and perinatal outcomes.Results In group A, the diagnostic rate of GDM (1.50%vs 5.82%) compared with B group, GDM low rate of diagnosis, gestational hypertension (10.30% vs 7.05%), polyhydramnios (9.76% vs 7.61%), cesarean section (41.73% vs 31.91%), infection of amniotic cavity (1.50% vs 0.22%) and neonatal hypoglycemia (1.28% vs 0.33%), syndrome neonatal respiratory distress (10.83% vs 8.28%), low birth weight infant (2.46%vs 0.67%), jaundice (14.80% vs 10.86%), fetal macrosomia (10.94% vs 6.04%) were higher than B group (P <0.05).Conclusions The evaluation of new pregnancy perinatal outcome in gestational diabetes diagnosis standard has practical significance, clinical attention should be paid.%目的：探究围生期母儿结局评估中新妊娠期糖尿病诊断标准的应用意义。方法选取自2011年1月至2012年12月我院收治的执行GDM诊断标准（旧新妊娠期糖尿病诊断标准）的932例产妇为A组，另取自2013年1月至2014年12月我院收治的执行GDM新诊断标准（ IADPSG标准）的893例产妇为B组，行GDM诊断率观察，并分析产妇妊娠结局及围生儿结局。结果 A组GDM诊断率（1．50％ vs 5．82％）较B组GDM诊断率低，妊娠期高血压（10．30％vs 7．05％）、羊水过多（9．76％vs 7．61％）、剖宫产（41．73％vs 31．91％）、羊膜腔感染（1．50％vs 0．22％）及新生儿低血糖（1．28％ vs 0．33％）、新生儿呼吸窘迫综合征（10．83％vs 8．28％）、低体重儿（2．46％ vs 0．67％）、新生儿黄疸（14．80％ vs 10．86％）、巨大儿（10．94％vs 6．04％）发生率均高于B组（ P＜0．05）。结论围生期母儿结局评估中新妊娠期糖尿病诊断标准具有现实意义，临床上应引起足够重视。