CAJ | 학술논문

目的探讨妊娠期糖尿病的产前治疗,并分析与妊娠结局的关系.方法比较我院50例经收入院治疗的妊娠期糖尿病孕妇和同期因各种原因未得以收入院治疗的妊娠期糖尿病孕妇的临床资料.分析围生儿的并发症的发生及孕妇的分娩方式与对照组比较,并进行统计学分析.结果治疗组新生儿并发症(窒息、低血糖、围生儿死亡、巨大儿)发生率与对照组比较[分别为10%(5/50)及66%(33/50)],差异有统计学意义(P＜0.05).治疗组孕妇有24例顺产,26例剖宫产,对照组有10例顺产,40例剖宫产.2组分娩方式差异有统计学意义(x2=8.734,P=0.003).结论妊娠期糖尿病应早期诊断和治疗,使血糖维持在正常水平是妊娠期糖尿病治疗的关键,可以减少母婴并发症的发生.
목적 탐토임신기당뇨병적산전치료,병분석여임신결국적관계.방법 비교아원50례경수입원치료적임신기당뇨병잉부화동기인각충원인미득이수입원치료적임신기당뇨병잉부적림상자료.분석위생인적병발증적발생급잉부적분면방식여대조조비교,병진행통계학분석.결과 치료조신생인병발증(질식、저혈당、위생인사망、거대인)발생솔여대조조비교[분별위10%(5/50)급66%(33/50)],차이유통계학의의(P＜0.05).치료조잉부유24례순산,26례부궁산,대조조유10례순산,40례부궁산.2조분면방식차이유통계학의의(x2=8.734,P=0.003).결론 임신기당뇨병응조기진단화치료,사혈당유지재정상수평시임신기당뇨병치료적관건,가이감소모영병발증적발생.
Objective To study the correlation between antenatal treatment of gestational diabetes mellitus (GDM) and the related pregnant outcomes. Methods The clinical data of 50 GDM pregnant women treated in our hospital and 50 GDM pregnant women without hospitalized interference treatment were compared: infant complications and the way of parturition were analyzed. Results Infant asphyxia, low blood sugar, perinatal deaths, fetal macrosomia, and mode of delivery of the treatment group were significantly better than the control group (P ＜0.05). Conclusions GDM should be early diagnosed and treated. Control of blood glucose level is the key in treatment of GDM, It may reduce complications of the mother and the infant.