CAJ | 학술논문

目的探讨妊娠期糖尿病治疗效果对妊娠结局的影响.方法 2005年1月-2008年8月我院检查确诊为妊娠期糖尿病(GDM)并在院分娩的孕妇共184人,按治疗效果分为血糖控制理想组(Ⅰ组)和血糖控制不理想组(Ⅱ组),比较两组的妊娠结局及分娩情况.结果两组的剖宫产率、妊娠期高血压疾病、胎儿生长受限、羊水过多、产后出血、胎儿宫内窘迫的发生率经统计学处理有显著性差异(P<0.05),两组早产、产褥感染、巨大胎儿、新生儿窒息及新生儿低血糖的发生率有显著性差异(P<0.01),两种分娩方式对比产后出血、产褥感染、胎儿宫内窘迫、新生儿窒息、新生儿低血糖发生率无统计学差异.结论妊娠期糖尿病孕妇经过合理规范治疗使血糖水平得到有效控制,其妊娠结局能得到明显改善,应加强对GDM的管理.
목적 탐토임신기당뇨병치료효과대임신결국적영향.방법 2005년1월-2008년8월아원검사학진위임신기당뇨병(GDM)병재원분면적잉부공184인,안치료효과분위혈당공제이상조(Ⅰ조)화혈당공제불이상조(Ⅱ조),비교량조적임신결국급분면정황.결과 량조적부궁산솔、임신기고혈압질병、태인생장수한、양수과다、산후출혈、태인궁내군박적발생솔경통계학처리유현저성차이(P<0.05),량조조산、산욕감염、거대태인、신생인질식급신생인저혈당적발생솔유현저성차이(P<0.01),량충분면방식대비산후출혈、산욕감염、태인궁내군박、신생인질식、신생인저혈당발생솔무통계학차이.결론 임신기당뇨병잉부경과합리규범치료사혈당수평득도유효공제,기임신결국능득도명현개선,응가강대GDM적관리.
Objective To investigate the effect of gestational diabetes mellitus treatment to the pregnancy outcome. Methods from January 2005 to August 2008,there are 184 persons who were diagnosed as gestational diabetes mellitus (GDM) and then delivery in the hospital,they were divided into two groups with the glucose level satisfactorily controlled (Ⅰ group) and the glucose level unsatisfactorily controlled group(Ⅱ group)according to the treatment effect,the pregnancy outcome and delivery situation were compared between the, two groups.Results there were statistics difference with cesarean section rate,hypertensive disorders in pregnancy, fetal growth restriction,polyhydmmnios, postpartum hemorrhage ,fetal distress between the two groups (P<0.05), there were significant difference with premature delivery,puerperal infection,fetal macrosomia, neonatal asphyxia and neonatal nypoglycemia between the two groups (P<0.01), there were no significant difference with postpartum hemorrhage, puerperal infection,fetal distress, neonatal asphyxia and neonatal nypoglycemia between the two groups.Conclusions the blood glucose levels were controlled through reasonably standardized treatment in the pregnant women with gestational diabetes mellitus, the pregnancy outcome can be obviously improved, so we must to strengthen the management of GDM.