CAJ | 학술논문

目的探讨妊娠期糖尿病（ GDM）患者早期保健对围产结局的影响。方法将86例在海盐县妇幼保健院产检及分娩的GDM患者随机分为观察组和对照组，每组各43例。对照组采用一对一责任制分娩，对症处理出现的症状；观察组在此基础上给予饮食控制、适当运动、心理保健及药物治疗等早期围生保健措施。比较分析两组患者血糖控制情况及妊娠结局。结果产后空腹血糖、餐后2h血糖观察组患者明显低于对照组（t值分别为254，3．01，均P＜0．05）；妊娠高血压、剖宫产、产后出血及产后感染的发生率观察组显著低于对照组（χ2值分别为4．17、3．01、3．96、4．07，均P＜0．05）；与对照组比较，观察组的围生儿在胎儿窘迫、早产、巨大儿、新生儿低血糖的并发症方面均显著降低（χ2值分别为4．07、3．89、5．46、5．11，均P＜0．05）。结论 GDM与妊娠结局密切相关，加强GDM早期保健可有效降低母婴并发症，改善围生儿预后。
목적탐토임신기당뇨병（ GDM）환자조기보건대위산결국적영향。방법장86례재해염현부유보건원산검급분면적GDM환자수궤분위관찰조화대조조，매조각43례。대조조채용일대일책임제분면，대증처리출현적증상；관찰조재차기출상급여음식공제、괄당운동、심리보건급약물치료등조기위생보건조시。비교분석량조환자혈당공제정황급임신결국。결과산후공복혈당、찬후2h혈당관찰조환자명현저우대조조（t치분별위254，3．01，균P＜0．05）；임신고혈압、부궁산、산후출혈급산후감염적발생솔관찰조현저저우대조조（χ2치분별위4．17、3．01、3．96、4．07，균P＜0．05）；여대조조비교，관찰조적위생인재태인군박、조산、거대인、신생인저혈당적병발증방면균현저강저（χ2치분별위4．07、3．89、5．46、5．11，균P＜0．05）。결론 GDM여임신결국밀절상관，가강GDM조기보건가유효강저모영병발증，개선위생인예후。
Objective To explore the influence of early perinatal health care on perinatal outcome of patients with gestational diabetes mellitus(GDM).Methods Eighty-six cases of GDM patients who received prenatal examination and delivered in Haiyan Maternal and Child Health Hospital were randomly divided into control group ( n=43 ) and observation group ( n=43 ) .The control group was given traditional health education and symptomatic treatment was given .The observation group was given early perinatal health care including diet control, proper exercise , mental health and drug therapy .The blood sugar control situation and pregnancy outcome were compared and analyzed between two groups .Results The postnatal fasting blood glucose and 2hour postprandial blood sugar in the observation group were significantly lower than those in the control group (t value was 254 and 3.01, respectively, both P<0.05).The incidence rates of gestational hypertension , cesarean section , postpartum hemorrhage and puerperal infection in the observation group were significantly lower than those in the control group (χ2 value was 4.17, 3.01, 3.96 and 4.07, respectively, all P<0.05).Compared with the control group , the complications of fetal distress , premature delivery , fetal macrosomia , neonatal hypoglycemia for perinatal infant in the observation group reduced significantly(χ2 value was 4.07, 3.89, 5.46 and 5.11, respectively, all P<0.05).Conclusion GDM is closely correlated with pregnancy outcome .Strengthening early perinatal care can effectively reduce the maternal and fetal complications and improve the perinatal prognosis.