CAJ | 학술논문

目的：探讨苏州市孕产妇妊娠期糖尿病（ GDM）对妊娠结局的影响。方法回顾性分析720例单胎妊娠妇女的临床资料。按照第七版《妇产科学》中GDM的诊断标准，选取GDM组360例，对照组360例。比较两组间妊娠结局的差异。结果GDM组孕产妇的妊娠期高血压疾病、妊娠期肝内胆汁淤积症（ ICP）、羊水过多和剖宫产的发生率高于对照组，差异有统计学意义（χ2值分别为9．190，4．744，5．698，53．588；均P＜0．05）；围生儿早产、巨大儿、新生儿高胆红素血症、新生儿低血糖以及新生儿肺炎的发生率高于对照组，差异有统计学意义（χ2值分别为6．050，5．336，12．528，14．382，16．800；均P＜0．05）。结论 GDM仍是威胁母婴健康的不良影响因素，孕妇及医院均应对此给予高度重视，以降低不良结局的发生。
목적：탐토소주시잉산부임신기당뇨병（ GDM）대임신결국적영향。방법회고성분석720례단태임신부녀적림상자료。안조제칠판《부산과학》중GDM적진단표준，선취GDM조360례，대조조360례。비교량조간임신결국적차이。결과GDM조잉산부적임신기고혈압질병、임신기간내담즙어적증（ ICP）、양수과다화부궁산적발생솔고우대조조，차이유통계학의의（χ2치분별위9．190，4．744，5．698，53．588；균P＜0．05）；위생인조산、거대인、신생인고담홍소혈증、신생인저혈당이급신생인폐염적발생솔고우대조조，차이유통계학의의（χ2치분별위6．050，5．336，12．528，14．382，16．800；균P＜0．05）。결론 GDM잉시위협모영건강적불량영향인소，잉부급의원균응대차급여고도중시，이강저불량결국적발생。
Objective To investigate the influence of gestational diabetes mellitus (GDM) on pregnancy outcomes in Suzhou.Methods The clinical data of 720 cases of singleton pregnancy women were retrospectively analyzed .According to the criterion of GDM at the seventh edition of Obstetrics and Gynecology , 360 cases of GDM were selected in GDM group and control group included another 360 cases.The pregnancy outcomes were compared between two groups .Results The incidence of hypertensive disorders in pregnancy , intrahepatic cholestasis of pregnancy , polyhydramnios and cesarean section in GDM group was higher than that of control group , and the differences were significant (χ2 value was 9.190, 4.744, 5.698 and 53.588, respectively, all P<0.05).The prevalence of premature delivery , macrosomia , hyperbilirubinemia of newborn , neonatal hypoglycemia and pneumonia of newborn was higher in GDM group than in control group, and there were significant differences between two groups (χ2 value was 6.050, 5.336, 12.528, 14.382 and 16.800, respectively, all P<0.05).Conclusion GDM is still a harmful factor threatening maternal and child health .Pregnant women and hospitals should pay much attention to GDM so as to decease adverse outcomes .