国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
19期
2367-2369
,共3页
妊娠期糖尿病%母婴结局
妊娠期糖尿病%母嬰結跼
임신기당뇨병%모영결국
Gestational diabetes mellitus%Outcome of the pregnant and infants
目的 探讨妊娠期糖尿病血糖控制对妊娠母儿结局的影响.方法 对在本院住院分娩的糖尿病孕妇148例的临床资料进行回顾性分析,根据血糖控制情况分成血糖控制满意组(A组)、血糖控制不满意组(B组),对两组孕妇的妊娠结局、妊娠并发症及新生儿结局进行比较.结果 血糖控制不满意组孕妇羊水过多( 33.93％ vs.14.13％)、巨大儿(32.14％ vs.9.78％)、胎儿窘迫、妊娠高血压疾病( 16.07％ vs.6.52％)、胎膜早破(37.50％ vs.17.39％)、胎儿畸形( 7.14％ vs.2.17％)、早产(16.07％ vs.7.60％)及剖宫产率(64.29％vs.36.96％)均高于正常组,差异均有显著性(P＜ 0.05),结论 妊娠期糖尿病是影响孕妇及围生儿结局,导致母婴严重并发症的重要因素；应加强血糖筛查的宣传,对所有孕妇进行糖筛查,对妊娠期糖尿病孕妇进行早期规范治疗,可减少妊娠期糖尿病对母儿的不良影响,改善围产儿预后.
目的 探討妊娠期糖尿病血糖控製對妊娠母兒結跼的影響.方法 對在本院住院分娩的糖尿病孕婦148例的臨床資料進行迴顧性分析,根據血糖控製情況分成血糖控製滿意組(A組)、血糖控製不滿意組(B組),對兩組孕婦的妊娠結跼、妊娠併髮癥及新生兒結跼進行比較.結果 血糖控製不滿意組孕婦羊水過多( 33.93％ vs.14.13％)、巨大兒(32.14％ vs.9.78％)、胎兒窘迫、妊娠高血壓疾病( 16.07％ vs.6.52％)、胎膜早破(37.50％ vs.17.39％)、胎兒畸形( 7.14％ vs.2.17％)、早產(16.07％ vs.7.60％)及剖宮產率(64.29％vs.36.96％)均高于正常組,差異均有顯著性(P＜ 0.05),結論 妊娠期糖尿病是影響孕婦及圍生兒結跼,導緻母嬰嚴重併髮癥的重要因素；應加彊血糖篩查的宣傳,對所有孕婦進行糖篩查,對妊娠期糖尿病孕婦進行早期規範治療,可減少妊娠期糖尿病對母兒的不良影響,改善圍產兒預後.
목적 탐토임신기당뇨병혈당공제대임신모인결국적영향.방법 대재본원주원분면적당뇨병잉부148례적림상자료진행회고성분석,근거혈당공제정황분성혈당공제만의조(A조)、혈당공제불만의조(B조),대량조잉부적임신결국、임신병발증급신생인결국진행비교.결과 혈당공제불만의조잉부양수과다( 33.93％ vs.14.13％)、거대인(32.14％ vs.9.78％)、태인군박、임신고혈압질병( 16.07％ vs.6.52％)、태막조파(37.50％ vs.17.39％)、태인기형( 7.14％ vs.2.17％)、조산(16.07％ vs.7.60％)급부궁산솔(64.29％vs.36.96％)균고우정상조,차이균유현저성(P＜ 0.05),결론 임신기당뇨병시영향잉부급위생인결국,도치모영엄중병발증적중요인소；응가강혈당사사적선전,대소유잉부진행당사사,대임신기당뇨병잉부진행조기규범치료,가감소임신기당뇨병대모인적불량영향,개선위산인예후.
Objective To explore the influence on the pregnant and new born of gestational diabetes blood sugar control.Methods Retrospectively analyzed the clinical data of of 148 pregnant women with diabete who were delivered in our hospital.According to blood sugar control situation,divided them into glucose control satisfied group (group A) and glucose control dissatisfied group (group B).The pregnant outcomes,pregnancy complications,and neonatal outcome of the women in both group were compared.Results Blood sugar control dissatisfied group's hydramnios,Macrosomia,fetal distress,pregnancy-induced hypertension disease,tire premature rupture of membrane,fetal malformation,preterm delivery,and cesarean section rate were higher than normal group's.Difference was significant (P＜ 0.05).conclusions Gestational diabetes is the outcome of the effect of pregnant women and perinatals; it is the important factor that causes serious complications of the pregnant and infant.We should strengthen blood sugar control propaganda,screen blood glucose for all pregnant women,give gestational diabetes pregnant women early standardized treatment.This can reduce the adverse impact of the pregnant and infants that causes by gestational diabetes and improve the prognosis of the newborn.
