摘要
目的探讨妊娠期糖尿病新旧诊断标准对妊娠结局的影响。方法收集2013年5月至2015年5月我院收治的孕妇共1502例作为研究对象,有630例孕妇采用旧诊断标准即《妇产科学》妊娠期糖尿病诊断标准,共有45例GDM患者为旧标准GDM组;共有872例孕妇采用新诊断标准即IADPSG标准,共有149例GDM患者作为新标准GDM组。比较两组临床资料、围生儿结局、孕妇妊娠结局。结果1旧标准诊断GDM发生率为7.15%。新诊断标准GDM发生率为17.09%,新诊断标准GDM发生率明显高于旧诊断标准,两组差异有统计学意义(P<0.05)。2旧标准GDM组BMI与新标准比较明显较高,两组差异有统计学意义(P<0.05)。3新标准GDM组巨大儿发生率与旧标准GDM组比较明显较低,两组差异有统计学意义(P<0.05)。4新标准GDM组子痫前期、早产发生率与旧标准GDM组比较明显较低,两组差异有统计学意义(P<0.05)。结论采用新诊断标准GDM发生率较高、巨大儿发生率及子痫前期、早产发生率相对较低,对GDM患者的早期干预及改善妊娠结局均具有重要的临床意义。
Objective To investigate the influence of gestational diabetes of old and new diagnostic criteria on pregnancy outcome. Methods 1502 cases of pregnant women in this study were selected from May 2013 to May 2015 in our hospital, 630 cases of pregnant women used the old criteria, which was ＂Obstetrics and Gynecology＂ gestational diabetes diagnostic criteria, there were 45 cases of GDM patients and considered them as the old standard GDM group; there were 872 cases of pregnant women used new diagnostic criteria that was IADPSG standard, there were 149 cases of patients with GDM and considered them as the new standard GDM group. The clinical data, perinatal outcome, maternal outcome of pregnancy of two groups were compared. Results （1）He old standard diagnosis of GDM was 7.15%. New diagnostic criteria of GDM incidence was 17.09%, the new diagnostic criteria of GDM were significantly higher than the old criteria, the difference was statistically significant （P〈0.05）. （2）BMI of the old standard GDM group was significantly higher than the new standard GDM group, the difference was statistically significant （P〈0.05）. （3）The huge incidence of children of the new standard GDM group was significantly lower than the old standard GDM group, the difference was statistically significant （P〈0.05）. （4）The preeclampsia, preterm birth rate of the new standard GDM group was significantly lower than the old standard GDM group, the difference was statistically significant （P〈0.05）. Conclusion The new diagnostic criteria for GDM higher incidence, prevalence and huge children preeclampsia, preterm birth rate is relatively low, early intervention and improve pregnancy outcomes of GDM patients have important clinical significance.
出处
《中国医药指南》
2015年第32期10-11,共2页
Guide of China Medicine
关键词
妊娠期糖尿病
诊断标准
妊娠结局
Gestational diabetes
Diagnostic criteria
Pregnancy outcomes
