CAJ | 학술논문

目的：探讨妊娠期糖尿病合并早发型重度子痫前期的临床诊治特点及对母婴结局的影响。方法：把妊娠期糖尿病合并早发型重度子痫前期68例患者按入院时的孕周数分为两组，每组34例，Ⅰ组：孕周数小于31周，Ⅱ组：孕31-33周，比较两组终止妊娠的时机及母婴结局。结果：Ⅰ组孕妇期待治疗时间明显长于Ⅱ组，且严重并发症发生率高于Ⅱ组，两组比较有显著性差异（P<0.05）；Ⅰ组新生儿窒息率和围产儿死亡率均高于Ⅱ组，且新生儿Apgar评分低于Ⅱ组，两组比较有显著性差异（P<0.05）。结论：妊娠期糖尿病合并早发型重度子痫前期对母婴危害大，且孕周越小，母婴预后越差，临床应密切监测病情变化，并采取有针对性的个体化治疗原则，以提高分娩质量。
목적：탐토임신기당뇨병합병조발형중도자간전기적림상진치특점급대모영결국적영향。방법：파임신기당뇨병합병조발형중도자간전기68례환자안입원시적잉주수분위량조，매조34례，Ⅰ조：잉주수소우31주，Ⅱ조：잉31-33주，비교량조종지임신적시궤급모영결국。결과：Ⅰ조잉부기대치료시간명현장우Ⅱ조，차엄중병발증발생솔고우Ⅱ조，량조비교유현저성차이（P<0.05）；Ⅰ조신생인질식솔화위산인사망솔균고우Ⅱ조，차신생인Apgar평분저우Ⅱ조，량조비교유현저성차이（P<0.05）。결론：임신기당뇨병합병조발형중도자간전기대모영위해대，차잉주월소，모영예후월차，림상응밀절감측병정변화，병채취유침대성적개체화치료원칙，이제고분면질량。
Objective: To investigate the clinical characteristics of diagnosis and treatment period of diabetes with early onset severe preeclampsia pregnancyand the effects on maternal and neonatal outcomes. Methods: the gestational diabetes with early onset severe preeclampsia 68 cases of hospitalized patients with gestational age when numbers are divided into two groups, 34 cases in each group, group Ⅰ: gestational week number less than 31 weeks, group Ⅱ: at 31 - 33 weeks, compared two groups of opportunity to terminate pregnancy and maternal and neonatal outcomes. Results: in group Ⅰ expectant treatment timewas significantly longer than that in group Ⅱ, and serious complications were higher in group Ⅱ, there were significant difference between two groups(P<0.05); in group Ⅰ, the rate of neonatal asphyxia and perinatal mortality were higher than those in group Ⅱ, and neonatal Apgar score lower than those in group I , there were significant difference between two groups (P<0.05).Conclusion: gestational diabetes with early onset severe preeclampsia is harmful to mother and infant, and the gestation is smal , maternal and infant prognosis is poorer, clinicians should closely monitor changes in condition, and take individualtreatment principle, in order to improve the quality of delivery.