航空航天医学杂志
航空航天醫學雜誌
항공항천의학잡지
AEROSPACE MEDICINE
2014年
3期
296-299
,共4页
规范化诊疗干预%妊娠期糖尿病%妊娠结局%糖脂代谢
規範化診療榦預%妊娠期糖尿病%妊娠結跼%糖脂代謝
규범화진료간예%임신기당뇨병%임신결국%당지대사
Standardized treatment intervention%Gestational diabetes%Pregnancy outcome%Glucose and lipid metab-olism
目的：探讨规范化诊疗干预妊娠期糖尿病后对其结局的影响。方法2010-01～2011-11在本院分娩的符合IADPSG诊断标准而不符合NDDG诊断标准确诊的308例GDM孕妇未给予规范化诊疗干预作未治疗组，2011-12～2012-12在本院分娩的符合IADPSG诊断标准而不符合NDDG诊断标准确诊的195例GDM孕妇给予规范化诊疗干预作为治疗组，以同期我院分娩的按照IADPSG诊断标准糖代谢正常的4509例孕妇为对照组，比较治疗组与未治疗组、治疗组与对照组间的不良妊娠结局及产后随访糖脂代谢异常的差别。结果2010-01～2011-11按照NDDG诊断标准GDM发生率4．47％，2011-12～2012-12按照IADPSG诊断标准GDM发生率13．84％，两组发病率有统计学差异（ P＜0．05）。308例未治疗组妊娠结局妊娠期高血压疾病、胎儿宫内窘迫、巨大胎儿、新生儿低血糖、剖宫产率分别为12．67％、22．08％、14．29％、6．49％、73．70％，均明显高于治疗组，有统计学差异（ P＜0．05﹚。两组GDM孕妇羊水过多、产后大出血无统计学差异（ P＞0．05）。治疗组妊娠结局与对照组比较无统计学差异（ P＞0．05）。产后随访率治疗组为87．01％，未治疗组为13．6％，有统计学差异（ P＜0．05﹚。产后糖脂代谢异常发生率治疗组与未治疗组有统计学差异（ P＜0．05），治疗组与对照组比较无统计学差异（ P＞0．05）。结论规范化诊断妊娠期糖尿病，更多的GDM孕妇被诊断，对其进行规范化干预，即可有效改善不良妊娠结局及产后糖脂代谢异常。
目的：探討規範化診療榦預妊娠期糖尿病後對其結跼的影響。方法2010-01～2011-11在本院分娩的符閤IADPSG診斷標準而不符閤NDDG診斷標準確診的308例GDM孕婦未給予規範化診療榦預作未治療組，2011-12～2012-12在本院分娩的符閤IADPSG診斷標準而不符閤NDDG診斷標準確診的195例GDM孕婦給予規範化診療榦預作為治療組，以同期我院分娩的按照IADPSG診斷標準糖代謝正常的4509例孕婦為對照組，比較治療組與未治療組、治療組與對照組間的不良妊娠結跼及產後隨訪糖脂代謝異常的差彆。結果2010-01～2011-11按照NDDG診斷標準GDM髮生率4．47％，2011-12～2012-12按照IADPSG診斷標準GDM髮生率13．84％，兩組髮病率有統計學差異（ P＜0．05）。308例未治療組妊娠結跼妊娠期高血壓疾病、胎兒宮內窘迫、巨大胎兒、新生兒低血糖、剖宮產率分彆為12．67％、22．08％、14．29％、6．49％、73．70％，均明顯高于治療組，有統計學差異（ P＜0．05﹚。兩組GDM孕婦羊水過多、產後大齣血無統計學差異（ P＞0．05）。治療組妊娠結跼與對照組比較無統計學差異（ P＞0．05）。產後隨訪率治療組為87．01％，未治療組為13．6％，有統計學差異（ P＜0．05﹚。產後糖脂代謝異常髮生率治療組與未治療組有統計學差異（ P＜0．05），治療組與對照組比較無統計學差異（ P＞0．05）。結論規範化診斷妊娠期糖尿病，更多的GDM孕婦被診斷，對其進行規範化榦預，即可有效改善不良妊娠結跼及產後糖脂代謝異常。
목적：탐토규범화진료간예임신기당뇨병후대기결국적영향。방법2010-01～2011-11재본원분면적부합IADPSG진단표준이불부합NDDG진단표준학진적308례GDM잉부미급여규범화진료간예작미치료조，2011-12～2012-12재본원분면적부합IADPSG진단표준이불부합NDDG진단표준학진적195례GDM잉부급여규범화진료간예작위치료조，이동기아원분면적안조IADPSG진단표준당대사정상적4509례잉부위대조조，비교치료조여미치료조、치료조여대조조간적불량임신결국급산후수방당지대사이상적차별。결과2010-01～2011-11안조NDDG진단표준GDM발생솔4．47％，2011-12～2012-12안조IADPSG진단표준GDM발생솔13．84％，량조발병솔유통계학차이（ P＜0．05）。308례미치료조임신결국임신기고혈압질병、태인궁내군박、거대태인、신생인저혈당、부궁산솔분별위12．67％、22．08％、14．29％、6．49％、73．70％，균명현고우치료조，유통계학차이（ P＜0．05﹚。량조GDM잉부양수과다、산후대출혈무통계학차이（ P＞0．05）。치료조임신결국여대조조비교무통계학차이（ P＞0．05）。산후수방솔치료조위87．01％，미치료조위13．6％，유통계학차이（ P＜0．05﹚。산후당지대사이상발생솔치료조여미치료조유통계학차이（ P＜0．05），치료조여대조조비교무통계학차이（ P＞0．05）。결론규범화진단임신기당뇨병，경다적GDM잉부피진단，대기진행규범화간예，즉가유효개선불량임신결국급산후당지대사이상。
Objective To explore the effects on outcomes in gestational diabetes mellitus ( GDM) women underwent standardized diagnosis and treatment .Methods In our hospital fromJanuary 2010 to November 2011 308 cases of preg-nant women diagnosed GDM according to IADPSG but not with NDDG diagnostic criteria did not give a standardized man -agement treatment as “no treatment group”, from December 2011 to December 2012 195 cases diagnosed according to IADPSG but not with NDDG diagnostic criteria did give a standardized management treatment as “treatment group”, while 4509 cases according to IADPSG diagnosis standard without abnormal glucose metabolism during the same period as control group.Observed their difference of poor pregnancy outcome and glucose and lipid metabolism abnormality after childbirth.Results From January 2010 to November 2011 the incidence of GDM was 4.47%, while from December 2011 to December 2012 the incidence of GDM was 13.84%, The two groups have significant difference incidence ( P<0.05).The poor pregnancy outcome in no treatment group were significantly higher than those in the treatment group , there was statistically significant difference (P<0.05).The two group of GDM pregnant women hydramnios , postpartum hemorrhage showed no significant difference ( P>0.05 ) .Compared the treatment group with the control group the out-comes had no significant difference (P>0.05).Conclusions With standardized diagnosis of gestational diabetes ,there were more pregnant women diagnosised .Given standardized intervention to them would improve pregnancy outcome and reduce glucose and lipid metabolism abnormality after child-birth.
