中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
15期
2037-2038
,共2页
高血糖症%妊娠结局
高血糖癥%妊娠結跼
고혈당증%임신결국
Hyperglycemia%Result of pregnancy outcome
目的 通过早期对空腹血糖偏高孕妇进行干预，降低妊娠期糖尿病(GDM)发生率并改善其妊娠结局。方法 选择空腹血糖偏高者孕妇为研究对象，随机分为干预组与对照组，干预组早期即开始饮食运动干预，对照组则按常规筛查诊治，比较两组GDM发生率及妊娠结局。结果 干预组GDM、妊娠期高血压疾病、流产、早产、羊水过多、巨大儿、胎儿生长受限、新生儿呼吸窘迫综合征的发生率和平均糖化血红蛋白水平均低于对照组(x2 =8.110、6.124、5.815、4.598、6.355、3.957、5.453、4.619，t=3.385，均P＜0.05)；两组孕妇体质量指数、足月新生儿出生体质量、感染性疾病、足月新生儿低血糖发生率差异无统计学意义。结论 早期干预空腹血糖偏高孕妇可降低GDM发生率，并明显改善其妊娠结局。
目的 通過早期對空腹血糖偏高孕婦進行榦預，降低妊娠期糖尿病(GDM)髮生率併改善其妊娠結跼。方法 選擇空腹血糖偏高者孕婦為研究對象，隨機分為榦預組與對照組，榦預組早期即開始飲食運動榦預，對照組則按常規篩查診治，比較兩組GDM髮生率及妊娠結跼。結果 榦預組GDM、妊娠期高血壓疾病、流產、早產、羊水過多、巨大兒、胎兒生長受限、新生兒呼吸窘迫綜閤徵的髮生率和平均糖化血紅蛋白水平均低于對照組(x2 =8.110、6.124、5.815、4.598、6.355、3.957、5.453、4.619，t=3.385，均P＜0.05)；兩組孕婦體質量指數、足月新生兒齣生體質量、感染性疾病、足月新生兒低血糖髮生率差異無統計學意義。結論 早期榦預空腹血糖偏高孕婦可降低GDM髮生率，併明顯改善其妊娠結跼。
목적 통과조기대공복혈당편고잉부진행간예，강저임신기당뇨병(GDM)발생솔병개선기임신결국。방법 선택공복혈당편고자잉부위연구대상，수궤분위간예조여대조조，간예조조기즉개시음식운동간예，대조조칙안상규사사진치，비교량조GDM발생솔급임신결국。결과 간예조GDM、임신기고혈압질병、유산、조산、양수과다、거대인、태인생장수한、신생인호흡군박종합정적발생솔화평균당화혈홍단백수평균저우대조조(x2 =8.110、6.124、5.815、4.598、6.355、3.957、5.453、4.619，t=3.385，균P＜0.05)；량조잉부체질량지수、족월신생인출생체질량、감염성질병、족월신생인저혈당발생솔차이무통계학의의。결론 조기간예공복혈당편고잉부가강저GDM발생솔，병명현개선기임신결국。
Objective To counsel the life style from the first trimester based on the fasting hyperglysemia to decrease the rate of GDM and adverse effect of it. Methods The pregnancy women with fasting hyperglysemia were recruited. All subjects were divided into two groups, one was counselled the life style from the first trimester but the other not. The pregnant outcome were compared. Results In the study group 1 100 with complete information and 29 were abnormal glucose intolerance, 1 120 of 47 in control. The rate of GDM or GIGT,hypertensive disease,spontaneous abortion,premature dilivery, polyhydramnios, fetal macrosomia, fetal growth restriction, neonatal respiratory distress syndrome and the mean GHbA1c was lower than that in control ( x2 = 8.110,6.124,5.815,4.518,6.355,3.957,5.453,4.619, t = 3.385, all P ＜ 0. 05 ). But the body mass index at labor( t = 0.698 ), infection disease ( x2 =0.082),mean neonatal weight (t = 2.09 )and neonatal hypoglysemia (x2 = 0.035 )of term labor had no significant differences. ( t = 0.698, χ2 = 0.082,t = 2.090, χ2 = 0.035, all P ＞ 0.05 ). Conclusion Counseling the life style from the first trimester based on the fasting hyperglysemia could decrease the rate of GDM or GIGT and improve the pregnancy result.
