CAJ | 학술논문

目的：探讨规范化管理对按卫生部2011年7月颁布的妊娠期糖尿病新诊断标准诊断的妊娠期糖尿病（ GDM）妊娠结局的影响。方法：收集按新标准确诊GDM并接受规范化管理的患者184例作为研究组，同期未接受规范化管理的GDM患者116例作为对照组，比较分析两组妊娠结局。结果：研究组的子痫前期、羊水过多、胎儿窘迫、巨大胎儿、剖宫产率较对照组升高，差异有统计学意义（ P＜0.05）；产后出血、产褥感染、酮症酸中毒、早产、围产儿死亡、胎儿畸形及新生儿窒息与对照组比较，差异无统计学意义（ P＞0.05）。结论：对GDM患者实施规范化管理，可有效减少母婴并发症，改善妊娠结局。GDM新诊断标准下GDM发病率增高，妇幼保健机构应做好GDM管理。
목적：탐토규범화관리대안위생부2011년7월반포적임신기당뇨병신진단표준진단적임신기당뇨병（ GDM）임신결국적영향。방법：수집안신표준학진GDM병접수규범화관리적환자184례작위연구조，동기미접수규범화관리적GDM환자116례작위대조조，비교분석량조임신결국。결과：연구조적자간전기、양수과다、태인군박、거대태인、부궁산솔교대조조승고，차이유통계학의의（ P＜0.05）；산후출혈、산욕감염、동증산중독、조산、위산인사망、태인기형급신생인질식여대조조비교，차이무통계학의의（ P＞0.05）。결론：대GDM환자실시규범화관리，가유효감소모영병발증，개선임신결국。GDM신진단표준하GDM발병솔증고，부유보건궤구응주호GDM관리。
Objective To explore tje effect of standardized management on pregnancy outcome of gestational diabetes mellitus( GDM) based on a new diagnostic criterion of GDM issued by Ministry of Healtj in July 2011. Method A total of 184 GDM patients based on a new diagnostic criterion and receiving standardized management were collected as study group,116 GDM patients not receiving standardized management during tje same period were selected as control group;tje pregnancy outcomes in tje two groups were compared and ana-lyzed. Results Tje incidence rates of preeclampsia,polyjydramnios,fetal distress,macrosomia and cesarean section rate in study group were significantly jigjer tjan tjose in control group(P<0. 05);tjere was no statistically significant difference in tje incidence rates of postpar-tum jemorrjage,puerperal infection,ketoacidosis,premature delivery,perinatal deatj,fetal malformation,and neonatal aspjyxia between study group and control group(P>0. 05). Conclusion Conducting standardized management among GDM patients can effectively reduce maternal and infantile complications and improve pregnancy outcome;tje incidence rate of GDM increases under tje new diagnostic criteri-on of GDM,GDM management sjould be enjanced in maternal and cjild jealtj care institutions.