河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
8期
1273-1276
,共4页
糖尿病%妊娠%妊娠结局%分娩方式%母婴并发症
糖尿病%妊娠%妊娠結跼%分娩方式%母嬰併髮癥
당뇨병%임신%임신결국%분면방식%모영병발증
Diabetes%Gestational%Pregnancy outcome%Delivery mode%Mother-baby com-plication
目的：探讨妊娠期糖尿病（ GDM）筛查和治疗对妊娠结局的影响。方法：选择GDM孕妇208例（ GDM组）和健康孕妇192例（对照组），对两组孕妇一般情况、妊娠结局及围产儿结局进行比较。结果：GDM组孕妇平均年龄明显高于对照组，孕周低于对照组，差异有统计学意义（ P 均＜0．05）。而两组孕妇在体重、孕次、产次等方面的差异无统计学意义（ P＞0．05）。两组妊娠结局比较，GDM组早产、剖宫产、妊娠期高血压发生率均明显高于对照组（ P 均＜0．05），胎膜早破、羊水过多、产后出血的发生率差异无统计学意义（P均＞0．05）。两组巨大儿、低体重儿、高胆红素血症、新生儿体血糖、新生儿窒息发生率差异无统计学意义（ P＞0．05）。结论：加强GDM筛查，及早诊断，通过饮食、运动及胰岛素等系统化治疗及规范化管理，可以有效控制血糖，减少妊娠合并症及改善围生儿预后。
目的：探討妊娠期糖尿病（ GDM）篩查和治療對妊娠結跼的影響。方法：選擇GDM孕婦208例（ GDM組）和健康孕婦192例（對照組），對兩組孕婦一般情況、妊娠結跼及圍產兒結跼進行比較。結果：GDM組孕婦平均年齡明顯高于對照組，孕週低于對照組，差異有統計學意義（ P 均＜0．05）。而兩組孕婦在體重、孕次、產次等方麵的差異無統計學意義（ P＞0．05）。兩組妊娠結跼比較，GDM組早產、剖宮產、妊娠期高血壓髮生率均明顯高于對照組（ P 均＜0．05），胎膜早破、羊水過多、產後齣血的髮生率差異無統計學意義（P均＞0．05）。兩組巨大兒、低體重兒、高膽紅素血癥、新生兒體血糖、新生兒窒息髮生率差異無統計學意義（ P＞0．05）。結論：加彊GDM篩查，及早診斷，通過飲食、運動及胰島素等繫統化治療及規範化管理，可以有效控製血糖，減少妊娠閤併癥及改善圍生兒預後。
목적：탐토임신기당뇨병（ GDM）사사화치료대임신결국적영향。방법：선택GDM잉부208례（ GDM조）화건강잉부192례（대조조），대량조잉부일반정황、임신결국급위산인결국진행비교。결과：GDM조잉부평균년령명현고우대조조，잉주저우대조조，차이유통계학의의（ P 균＜0．05）。이량조잉부재체중、잉차、산차등방면적차이무통계학의의（ P＞0．05）。량조임신결국비교，GDM조조산、부궁산、임신기고혈압발생솔균명현고우대조조（ P 균＜0．05），태막조파、양수과다、산후출혈적발생솔차이무통계학의의（P균＞0．05）。량조거대인、저체중인、고담홍소혈증、신생인체혈당、신생인질식발생솔차이무통계학의의（ P＞0．05）。결론：가강GDM사사，급조진단，통과음식、운동급이도소등계통화치료급규범화관리，가이유효공제혈당，감소임신합병증급개선위생인예후。
Objective:To explore the influence of screeing and treatment of gestational diabetes ( GDM) on pregnancy outcome .Method: 208 pregnant women with GDM were as GDM group and 192 pregnant women were defined as healthy control group .The maternal and perinatal complications were compared be-tween the two groups .Result: The average age of GDM group was obviously higher than that of control group, and the gestational weeks was lower than that in control group , the difference was statistically signifi-cant (P<0.05).The weight, gravidity times and parity were no significantly different between GDM group and control group ( P>0.05) .The premature delivery rate , cesarean birth rate and gestational hypertension in GDM group were higher than those in the control group (P<0.05).The incidences of pregnancy-induced polyhydramnios , premature rupture of membranes , postpartum hemorrhage in two groups were statistical in significance (P>0.05).There were no distinct differences in the morbidity of fetal macrodome , low birth weight , hypoglycemia , asphyxia neonatorium and hyperbilirubinemia of newborn between the two groups ( P>0.05).Conclusion: Proper perinatal GDM screening and standardized treatment are important to control the level of serum glucose and decrease the maternal and perinatal complications .
