【摘要】 目的探讨妊娠期糖代谢异常对新生儿预后的影响。方法选择2009年1月至2012年12月住院分娩的孕妇,根据糖代谢有无异常分为3组,A组79例(孕前糖尿病组),B组78例[妊娠期糖尿病(GDM)组],C组71例(糖耐量正常组),比较三组孕妇的新生儿预后。结果 A、B组中巨大儿、新生儿窒息、早产儿的发生率与C组比较,差异有统计学意义(P<0.05);A组与B组新生儿预后比较,差异无统计学意义(P>0.05)。结论妊娠期糖代谢异常对新生儿有不利影响,即GDM亦与孕前糖尿病一样可使巨大儿、新生儿窒息、早产儿的发生率增高。更多还原

【Abstract】 Objective To investigate the influence of abnormal glucose metabolism in gestation period on prognosis of neonates. Methods Pregnant women involving delivery hospitalized from January 2009 to December 2012 were selected and divided into three groups according to whether the abnormal glucose metabolism existed or not: group A with progestational diabetes mellitus(n=79),group B with gestational diabetes mellitus(GDM group,n=78) and group C with normal glucose tolerance(n=71).The prognosis conditions of neonates in the three groups were compared. Results The comparison of the occurrence rate of giant baby,neonatal asphyxia and premature infants in group A and group B with group C had statistical significance(P<0.05), while the difference of prognosis status of neonates between group A and group B had no statistical significance(P>0.05). Conclusion Abnormal glucose metabolism during pregnancy can produce negative effects on neonates,namely,GDM can improve the occurrence rate of giant baby,neonatal asphyxia and premature infants as well as pregestational diabetes mellitus.更多还原