CAJ | 학술논문

目的调查妊娠期糖尿病(GDM)孕妇焦虑和抑郁现状,探讨其相关因素及不良后果,为GDM孕妇焦虑和抑郁的防治提供理论依据.方法采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对95例GDM孕妇进行调查.结果 GDM孕妇焦虑和抑郁发生率分别为47.4%和33.4%.焦虑情绪的孕妇筛查时血糖、空腹血糖、OGTT 0 min血糖高于非焦虑孕妇;抑郁情绪的孕妇筛查血糖、空腹血糖、餐后2 h血糖、OGTT 0 min及120 min血糖均高于非抑郁孕妇.结论存在焦虑抑郁的GDM孕妇血糖更高,代谢控制较差,负性情绪应受到高度关注,尽早采取较为有效的干预措施以避免不良妊娠结局的发生.
목적 조사임신기당뇨병(GDM)잉부초필화억욱현상,탐토기상관인소급불량후과,위GDM잉부초필화억욱적방치제공이론의거.방법 채용초필자평량표(SAS)화억욱자평량표(SDS)대95례GDM잉부진행조사.결과 GDM잉부초필화억욱발생솔분별위47.4%화33.4%.초필정서적잉부사사시혈당、공복혈당、OGTT 0 min혈당고우비초필잉부;억욱정서적잉부사사혈당、공복혈당、찬후2 h혈당、OGTT 0 min급120 min혈당균고우비억욱잉부.결론 존재초필억욱적GDM잉부혈당경고,대사공제교차,부성정서응수도고도관주,진조채취교위유효적간예조시이피면불량임신결국적발생.
Objective To investigate the anxiety and depresson status of pregnant women with gestationul diabetes mellitus (GDM), to explore the correlated factors and harmful result among these patients, and to provide a theoretic basis for prevention and treatment of the anxiety and depresson status of pregnant women with geststional diabetes mellitus. Methods 95 cases with GDM were investigated by using Self Rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). Results Anxiety rate was 47.4% and depression rate was 33. 4% in patients with GDM. In the screening examination, patients with anxiety had blood glucose, fast blood glucose, and OGTT at 0 min., higher than those in patients without anxiety. And in the screening examination, patients with depression had higher levels of blood glucose, fast blood glucose, two-hour-later-after-a-meal blood glucose, OGTT at 0 min. and at 120 rain. than non-depression patients. Conclusions GDM Patients with anxiety and depresson have higher level blood glucose, and the control of their metalism is poor. It should pay a high attention to the negative mood of them and try to take effective intervention measures as early as possible to avoid the occurrence of a bad pregnant result.