【摘要】 目的:探讨妊娠期糖尿病筛查及对孕妇和围生儿的影响。方法:对进行产前检查并分娩的3928例孕妇分A、B、C组,A组为妊娠<16周,B组为妊娠24～28周,C组为妊振32～36周。对空腹血糖正常者进行糖耐量试验(OGTT),妊娠期糖耐量受损(GIGT)及妊娠期糖尿病(GDM)给予相应治疗,比较3组母儿结局的异同。结果:母儿患病率比较A、B组明显低于C组,差异有统计学意义(P<0.01)。结论:于妊娠28周前开展妊娠期糖尿病的筛查,对妊娠期糖代谢异常孕妇进行早期诊断、早期治疗可改善母儿预后。更多还原

【Abstract】 Objective:To reduce perinatal maternal and fetal adverse complications to evaluate the role of gestational diabetes screening for pregnant women and perinatal child.Methods:3 928 cases of pregnant women were divided into A,B,C groups.Group A was less than 16 weeks of gestation,group B was 24 ~ 28 weeks of gestation,group C was 32 ~ 36 weeks of vibration for stretch marks.Patients with normal fasting blood sugar were examined glucose tolerance test(OGTT),vibration period of impaired glucose tolerance(GIGT) and gestational diabetes mellitus(GDM) and treated with corresponding treatment.Mother and perinatal end was compared.Results:Prevalence of mother and perinatal in A and B group was lower than that of group C.Conclusion:Screening for gestational diabetes before pregnancy 28 weeks,and early diagnosis for abnormal glucose metabolism during pregnancy pregnant women,early treatment,can improve the prognosis.更多还原