北方药学
北方藥學
북방약학
JOURNAL OF NORTH PHARMACY
2014年
1期
59-59,60
,共2页
妊娠期糖尿病%血糖%体重%剖宫产
妊娠期糖尿病%血糖%體重%剖宮產
임신기당뇨병%혈당%체중%부궁산
Gestational diabetes%Blood-sugar%Body weight%Cesarean
目的：探讨通过饮食指导、运动及血糖监测对妊娠期糖尿病母亲的血糖和体重的控制，降低胎儿体重，减少母婴并发症及不良妊娠结局的作用。方法：回顾性分析收治的263例妊娠期糖尿病患者的临床资料，其中血糖、体重控制满意的188例作为观察组，血糖控制不满意的75例作为对照组，比较分析两组的母婴并发症及不良妊娠结局。结果：观察组的妊娠期高血压、产褥感染以及剖宫产发生率分别为，8.0％、4.8％、33.5％均明显低于对照组的19.0％、12％、58.7％，两组比较差异有统计学意义（P＜0.05）；观察组的早产儿、巨大儿、呼吸窘迫综合征发生率分别为，5.3％、10.6％、2.6％，均明显低于对照组的13.3％、20.0％、9.3％，两组比较差异有统计学意义，（P＜0.05）；血糖控制能够明显减少妊娠期糖尿病母婴并发症及不良妊娠结局的发生，能够明显改善母婴预后，具有重要的临床意义。
目的：探討通過飲食指導、運動及血糖鑑測對妊娠期糖尿病母親的血糖和體重的控製，降低胎兒體重，減少母嬰併髮癥及不良妊娠結跼的作用。方法：迴顧性分析收治的263例妊娠期糖尿病患者的臨床資料，其中血糖、體重控製滿意的188例作為觀察組，血糖控製不滿意的75例作為對照組，比較分析兩組的母嬰併髮癥及不良妊娠結跼。結果：觀察組的妊娠期高血壓、產褥感染以及剖宮產髮生率分彆為，8.0％、4.8％、33.5％均明顯低于對照組的19.0％、12％、58.7％，兩組比較差異有統計學意義（P＜0.05）；觀察組的早產兒、巨大兒、呼吸窘迫綜閤徵髮生率分彆為，5.3％、10.6％、2.6％，均明顯低于對照組的13.3％、20.0％、9.3％，兩組比較差異有統計學意義，（P＜0.05）；血糖控製能夠明顯減少妊娠期糖尿病母嬰併髮癥及不良妊娠結跼的髮生，能夠明顯改善母嬰預後，具有重要的臨床意義。
목적：탐토통과음식지도、운동급혈당감측대임신기당뇨병모친적혈당화체중적공제，강저태인체중，감소모영병발증급불량임신결국적작용。방법：회고성분석수치적263례임신기당뇨병환자적림상자료，기중혈당、체중공제만의적188례작위관찰조，혈당공제불만의적75례작위대조조，비교분석량조적모영병발증급불량임신결국。결과：관찰조적임신기고혈압、산욕감염이급부궁산발생솔분별위，8.0％、4.8％、33.5％균명현저우대조조적19.0％、12％、58.7％，량조비교차이유통계학의의（P＜0.05）；관찰조적조산인、거대인、호흡군박종합정발생솔분별위，5.3％、10.6％、2.6％，균명현저우대조조적13.3％、20.0％、9.3％，량조비교차이유통계학의의，（P＜0.05）；혈당공제능구명현감소임신기당뇨병모영병발증급불량임신결국적발생，능구명현개선모영예후，구유중요적림상의의。
Objective: To discuss the effect about dietary guidance, sports for gestational diabetes blood sugar monitoring for blood sugar and weight control, reducing the fetal body weight, the maternal complications and occurrence rate of adverse pregnancy outcomes. Methods: Using retrospective control study. the clinical data of 263 patients with gestational diabetes were selected .188 cases of diabetic pregnant women whose blood sugar and body weight were well-pleasing controlled were selected as observation group , and the other 75 cases whose blood sugar and body weight were dissatisfied controlled were selected as matched group. Contrastive analysis was used to study maternal and infant complications and adverse pregnancy outcomes of the two groups. Results The incidences of observation group of hypertension during pregnancy, puerperal infection and cesarean section were respectively 8.0%, 4.8%, and 33.5%; contrasting in the matched group, these incidences were respectively 19.0%,12%and 58.7% The difference between the two groups have statistical significance.(P<0.05). The incidences of observation group of premature birth, macrosomia and respiratory distress syndrome were respectively 5.3%,10.6% and 2.6%; contrasting in the matched group, these incidences were respectively 13.3%, 20.0%and 9.3%. The differences between the two groups have statistical significance(P<0.05). Conclusion: The blood sugar control has important clinical significance because it can significantly reduce the incidence of maternal and infant complications and adverse pregnancy outcomes for patients with gestational diabetes, and it can significantly improve maternal and infant prognosis.
