新妊娠期糖尿病诊断标准中发病现状及围产结局分析

目的了解新妊娠期糖尿病诊断标准实施后妊娠期糖尿病（GDM）发生现状及围产结局。方法对2012年10月一2012年12月期间在海淀区妇幼保健院分娩的孕产妇资料进行回顾性分析，统计妊娠期糖尿病（GDM）的发生率及围产结局。结果①妊娠期糖尿病发生率为22．92％。GDM组妊娠年龄、孕前体重和体重指数均高于血糖正常的对照组；②在孕早期和孕中期，GDM组体重增长明显高于对照组，但整个孕期体重总增长比较，GDM组低于对照组，差异有统计学意义；③基础血糖、糖耐量筛查（OGTT）结果是GDM组高于对照组，但糖化血红蛋白两组比较差异无统计学意义；④两组新生儿体重、巨大儿发生率及剖宫产率差异无统计学意义。结论新标准诊断管理孕产妇，围产结局较为满意；孕早、中期体重增加过快可能与存在妊娠期糖尿病危险因素有关，通过在孕早期及早进行干预可能会降低GDM的发生率。

The incidence and perinatal outcome in the new diagnostic criteria for gestational diabetes mellitus

Objective ] The purpose of this study was to discussed the incidence and perinatal outcome. Methods ] We conducted a retrospective cohort study of 2613 singleton pregnancy delivering in haidian maternal and child healthcare hospital from october to December 2012. Resluts ] The incidence of gestational diabetes mellitus was 22.92%, gestational age, prepregnancy weight and body mass index of the GDM group were higher than those of the control group; weight gain during the whole pregnancy in GDM group was obviously lower than that of control group, but weight gain in first-trimester and second-trimester were higher in the GDM group than those of control group, the difference was statistically significant; sugar monitoring of GDM group, whether Based blood sugar or OGTT, was higher than those of control group, but had no significant differences in glycated hemoglobin; it was no significant difference in neonatal weight, incidence of macrosomia and cesarean section rate. Conclusion ] The new diagnostic criteria management improved maternal and neonatal outcomes; weigh gain too fast in the first and second trimester may be risk factors, it may reduce the incidence of GDM. by intervention means in the early stages of pregnancy.