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目的：回顾性研究妊娠期糖尿病产妇孕中晚期及新生儿并发症情况，以加深对妊娠期糖尿病的认识，完善孕期管理，避免或减少并发症的发生，保证母婴安全。方法：随机抽取2011 年1月至2012 年12 月在我院住院生产的200 名妊娠期糖尿病产妇，其中在我院产检并接受管理的产妇138 例为观察组，没有经过我院糖尿病管理的62 例产妇为对照组，分析两组并发症发生情况。结果：观察组中51 例产妇发生并发症（37.0%），新生儿21 例（占15.2%）；对照组中产妇发生并发症50 例（占80.6%），新生儿23 例（占37.1%），经糖尿病管理和治疗的观察组孕产妇出现的并发症明显比没有经过管理的对照组孕产妇出现的并发症少（如妊娠期高血压疾病、产后感染、酮症酸中毒、羊水过多、早产、巨大儿、低出生体重儿、死胎、畸形、呼吸窘迫综合征等），结果具有统计学意义。结论：需要重视妊娠期糖尿病，加强妊娠期糖尿病孕期管理是减少妊娠期糖尿病并发症的有效措施。

英文摘要:

Objective:A retrospective study was conducted on complications occurred during middle-late pregnancy of maternal gestational diabetes mellitus (GDM) and on their newborn to deepen and improve the understanding and management of gestational diabetes, and to avoid or reduce the occurrence of complications in order to ensure the safety of maternal and infants.Methods:200 maternal cases with GDM hospitalized for delivery in our hospital from January 2011 to December 2011 were randomly enrolled into the study. Among them, 138 cases undergoing antenatal care and management were chosen as observation group and 62 cases without diabetes management of our hospital as control group. The complications of the two groups were analyzed.Results:In observation group, 51 maternal cases (37.0%) and 21 neonatal cases (15.2%) occurred complications. 50 maternal cases (80.6%) and 23 neonatal cases (37.1%) occurred complications in control group. The occurrence of complications such as gestational hypertension, postpartuminfection, ketoacidosis, hydramnios, premature birth, macrosomia, low birth weight, dead fetus, deformities, respiratory distress syndrome in observation group was obviously less than that in control group.Conclusion:Great attention should be paid to GDM and strengthen GDM management is an effective way to reduce the occurrence of complications.

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