妊娠期糖耐量受损.ppt

妊娠期糖耐量受损对妊娠预后的影响
纪立平1 ,吴连方2
中图分类号:R714
[摘要]
目的:探讨糖耐量受损对
妊娠预后的影响。

方法: 将157例糖耐量损者
及55例妊娠期糖尿
病患者与1315例正
常者的妊娠预后进行
比较。
结果:糖耐量受损组巨大儿,
新生儿窒息率, 合并妊
娠期高血压疾病、剖
宫产率明显高于正常
组,糖耐量受损组孕
妇年龄较大,孕前体
重较重。
结论: 糖耐量受损孕妇妊娠
期并发症、手术产率、
围生儿病率均高于正
常孕妇。
[关键词]
糖耐量试验
妊娠预后
围生儿
The effect of impaired glucose tolerance on pregnancy e JI Liping1 WU Lianfang2
and Child Health Hospital of Pinggu District in Beijing,Pinggu Beijing ,101200,
China;
Obstetrics
and Gynecology Hospital, Capital Medical University Beijing,
100026, China
[Abstract]
Objective:To investigate the effect of impaired glucose tolerance on
pregnancy e.
Methods: The study group consisted of 157 pregnant women with
impaired glucose tolerance (IGT) and 55 pregnant women with
gestational diabetes mellitus (GDM), the control group consisted of
1315 normal pregnant women, and pare the es of the
women.
Results: The rate of fetal macrosomia, neonatal asphyxia,
hypertensive plicating pregnancy and Cesarean Section in
the study group is significantly higher than those in the control group.
The age of the study group is older than that of the control group and
the body weight before pregnancy of the study group is higher than that
of the control group.
Conclusion: The plications, the rate of cesarean section
and the perinatal morbidity in the pregnant plicated with IGT
is higher than normal pregnant women.
妊娠期糖尿病
gestational diabetes mellitus,GDM
是在妊娠首次发现或发生的糖代谢异常
妊娠期糖耐量受损
impaired glucose tolerance, IGT
为早期的血糖稳态改变,只是介于正常血糖和GDM血糖之间的中间状态或过渡阶段[1]。
妊娠期孕妇并发症
高血压疾病
羊水过多
巨大儿
早产
感染
酮症酸中毒等
对围生儿影响
新生儿代谢异常
新生儿呼吸窘迫综合征neonatal respiratory distress,syndrome, NRDS
胎儿畸形
发育过度
死胎
死产
GDM对母儿危害大
①孕妇将来发生Ⅱ型糖尿病机会增加,
GDM远期并发症
②子代糖尿病发病率增多。
GDM对孕妇,围生
儿的影响过程被人

统的管理,母儿结局

妊娠结局的影响尚
未引起关注,也未得
到系统监测和相应
理。