CAJ | 학술논문

目的：探讨妊娠期代谢综合征（GM S ）的诊断标准，并分析引起GM S的危险因素。方法选取该院定期进行产科检查并住院分娩的154例单胎妊娠且子痫前期者为子痫前期组，310例妊娠期糖尿病孕妇为妊娠期糖尿病组，同时选取500例健康孕妇作为健康对照组。记录各组孕妇年龄、怀孕周数、血压、孕前体质量、孕前体质量指数，检测各组孕妇空腹血糖、胰岛素以及总胆固醇、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇和游离脂肪酸的含量，并对检测结果进行比较分析。结果（1）子痫前期组及妊娠糖尿病组孕妇的年龄、怀孕周数、血压、孕前体质量指数分别与健康对照组比较，差异均有统计学意义（P＜0．05）。（2）子痫前期组和妊娠期糖尿病组孕妇各项检测指标分别与健康对照组比较，差异均有统计学意义（P＜0．05）。（3）子痫前期组和妊娠期糖尿病组孕妇发生GMS的风险显著升高（P＜0．05）。结论孕前体质量指数和总胆固醇是子痫前期和妊娠期糖尿病发生的危险因素，而两组均显示高密度脂蛋与代谢综合征的发生无显著相关。
목적：탐토임신기대사종합정（GM S ）적진단표준，병분석인기GM S적위험인소。방법선취해원정기진행산과검사병주원분면적154례단태임신차자간전기자위자간전기조，310례임신기당뇨병잉부위임신기당뇨병조，동시선취500례건강잉부작위건강대조조。기록각조잉부년령、부잉주수、혈압、잉전체질량、잉전체질량지수，검측각조잉부공복혈당、이도소이급총담고순、삼선감유、고밀도지단백담고순、저밀도지단백담고순화유리지방산적함량，병대검측결과진행비교분석。결과（1）자간전기조급임신당뇨병조잉부적년령、부잉주수、혈압、잉전체질량지수분별여건강대조조비교，차이균유통계학의의（P＜0．05）。（2）자간전기조화임신기당뇨병조잉부각항검측지표분별여건강대조조비교，차이균유통계학의의（P＜0．05）。（3）자간전기조화임신기당뇨병조잉부발생GMS적풍험현저승고（P＜0．05）。결론잉전체질량지수화총담고순시자간전기화임신기당뇨병발생적위험인소，이량조균현시고밀도지단여대사종합정적발생무현저상관。
Objective To study the pregnancy was discussed in the diagnostic criteria for to study the diagnos-tic standard of metabolic syndrome and to analyze the risk factors caused by GMS .Methods In the city′s major ob-stetric gynecological hospital regularly checked and selected hospital delivery 154 cases of singleton pregnancies ,pre-eclampsia as preeclampsia ,gestational diabetes ,310 cases of pregnant women ,as gestational diabetes group ,while se-lecting 500 healthy pregnant women as a control group .Record each group maternal age ,gestational age ,blood pres-sure ,body weight before pregnancy ,pre-pregnancy body mass index ,to detect the group of pregnant women fasting glucose ,insulin ,and total cholesterol ,triglycerides ,HDL ,LDL and free fatty acids the content analysis of the test re-sults .Results (1) pre-eclipse and gestational diabetes group maternal age ,gestational age ,blood pressure ,body mass index before pregnancy were compared with the control group ,the difference was statistically significant (P<0 .05) , (2) pre-eclipse group and a group of pregnant women with gestational diabetes indicators were above the control group ,the difference was statistically significant (P< 0 .05) ,(3) preeclampsia and gestational diabetes mellitus in pregnant women significantly increased the risk of GMS (P<0 .05) .Conclusion Preeclampsia and gestational diabe-tes mellitus risk factors are pre-pregnancy body mass index and total cholesterol ,while both groups showed high den-sity lipoprotein and incidence of metabolic syndrome was not significantly associated .