CAJ | 학술논문

目的：探讨分析妊娠期糖尿病（GDM）孕妇空腹血糖及餐后1h血糖水平、血脂水平、血清胰岛素水平与妊娠结局的临床相关性情况。方法选取2011年2月～2012年8月我院进行常规产前检查的40例健康孕妇作为对照组，将同期确诊为GDM的42例孕妇作为观察组，检测两组孕妇的空腹血糖及餐后1h血糖水平、血脂水平、血清胰岛素水平并比较两组孕妇的妊娠结局差异。结果观察组的空腹血糖及餐后1h血糖水平、血脂水平、血清胰岛素水均明显高于对照组；且观察组巨大儿、新生儿高胆红素血症、新生儿低血糖等并发症发生率显著高于对照组（P＜0.05）。结论GDM孕妇空腹血糖及餐后1h血糖水平、血脂水平、血清胰岛素水平增加了围生儿的风险，值得临床注意、及早干预。
목적：탐토분석임신기당뇨병（GDM）잉부공복혈당급찬후1h혈당수평、혈지수평、혈청이도소수평여임신결국적림상상관성정황。방법선취2011년2월～2012년8월아원진행상규산전검사적40례건강잉부작위대조조，장동기학진위GDM적42례잉부작위관찰조，검측량조잉부적공복혈당급찬후1h혈당수평、혈지수평、혈청이도소수평병비교량조잉부적임신결국차이。결과관찰조적공복혈당급찬후1h혈당수평、혈지수평、혈청이도소수균명현고우대조조；차관찰조거대인、신생인고담홍소혈증、신생인저혈당등병발증발생솔현저고우대조조（P＜0.05）。결론GDM잉부공복혈당급찬후1h혈당수평、혈지수평、혈청이도소수평증가료위생인적풍험，치득림상주의、급조간예。
Objective To investigate gestational diabetes mellitus (GDM) fasting glucose and clinical relevance of one hour postprandial blood glucose levels,lipid levels,serum insulin levels and pregnancy outcomes. Methods From February 2011 to August 2012,choosing 40 healthy pregnant women as a control group,chosing GDM 42 cases of pregnant women as the observation group,detected in both groups of pregnant women,fasting blood glucose and meal 1 hour after the blood sugar level,blood lipid levels, serum insulin levels and compared the two groups differences in pregnancy outcomes of pregnant women. Results Observation group one hour fasting glucose and postprandial glucose levels,lipid levels,serum insulin levels were significantly higher,observation group of huge children,neonatal hyperbilirubinemia,neonatal hypoglycemia was significantly higher incidence of complications(P < 0.05). Conclusion GDM pregnant women fasting blood sugar and 1 hour postprandial blood glucose levels,lipid levels,serum insulin levels increase the risk of perinatal children,worthy of clinical attention to early intervention.