中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
2期
34-35
,共2页
妊娠期代谢紊乱综合征%妊娠结局
妊娠期代謝紊亂綜閤徵%妊娠結跼
임신기대사문란종합정%임신결국
Pregnancy metabolic disorder syndrome%Pregnancy outcomes
目的：探讨妊娠期代谢紊乱综合征（GMS）患者是否存在不良妊娠结局情况。方法采取回顾性调查研究方法，针对2013年7月至10月在大连市旅顺口区人民医院产科住院分娩的孕产妇，筛选出符合妊娠期代谢紊乱综合征的孕产妇53例作为研究组（GMS组），其余孕产妇584例为对照组，调查研究组与对照组的妊娠结局情况，包括妊娠期高血压疾病子痫前期的发生情况，妊娠期糖尿病的发生率，妊娠期羊水过少、羊水过多、胎膜早破、产前出血的发生率，产时手术产率，子宫收缩乏力引起产后出血的发生率，以及巨大儿、胎儿生长受限、新生儿窒息、肺炎甚至死胎等胎儿新生儿不良结局的发生率。结果妊娠期代谢紊乱综合征对妊娠的影响是可以增加早产、羊水过少、羊水过多的发生，可以增加胚胎发育异常、胎死宫内的发生概率，产时的影响是增加手术产率，增加胎盘早剥以及宫缩乏力产后出血的发生率，对于新生儿的影响是增加巨大儿出生率，可导致胎儿生长受限而分娩低出生体质量儿。孕期体质量过度增长、异常高血脂与妊娠期代谢紊乱综合征关系密切，与不良妊娠结局存在因果关系。结论妊娠期代谢紊乱综合征是一种对孕母及胎儿均有严重不良影响的疾病，加强孕期监护及保健，控制体质量、合理营养、及早发现、治疗GMS对于减少孕产期并发症，避免不良妊娠结局具有重要的临床意义。
目的：探討妊娠期代謝紊亂綜閤徵（GMS）患者是否存在不良妊娠結跼情況。方法採取迴顧性調查研究方法，針對2013年7月至10月在大連市旅順口區人民醫院產科住院分娩的孕產婦，篩選齣符閤妊娠期代謝紊亂綜閤徵的孕產婦53例作為研究組（GMS組），其餘孕產婦584例為對照組，調查研究組與對照組的妊娠結跼情況，包括妊娠期高血壓疾病子癇前期的髮生情況，妊娠期糖尿病的髮生率，妊娠期羊水過少、羊水過多、胎膜早破、產前齣血的髮生率，產時手術產率，子宮收縮乏力引起產後齣血的髮生率，以及巨大兒、胎兒生長受限、新生兒窒息、肺炎甚至死胎等胎兒新生兒不良結跼的髮生率。結果妊娠期代謝紊亂綜閤徵對妊娠的影響是可以增加早產、羊水過少、羊水過多的髮生，可以增加胚胎髮育異常、胎死宮內的髮生概率，產時的影響是增加手術產率，增加胎盤早剝以及宮縮乏力產後齣血的髮生率，對于新生兒的影響是增加巨大兒齣生率，可導緻胎兒生長受限而分娩低齣生體質量兒。孕期體質量過度增長、異常高血脂與妊娠期代謝紊亂綜閤徵關繫密切，與不良妊娠結跼存在因果關繫。結論妊娠期代謝紊亂綜閤徵是一種對孕母及胎兒均有嚴重不良影響的疾病，加彊孕期鑑護及保健，控製體質量、閤理營養、及早髮現、治療GMS對于減少孕產期併髮癥，避免不良妊娠結跼具有重要的臨床意義。
목적：탐토임신기대사문란종합정（GMS）환자시부존재불량임신결국정황。방법채취회고성조사연구방법，침대2013년7월지10월재대련시려순구구인민의원산과주원분면적잉산부，사선출부합임신기대사문란종합정적잉산부53례작위연구조（GMS조），기여잉산부584례위대조조，조사연구조여대조조적임신결국정황，포괄임신기고혈압질병자간전기적발생정황，임신기당뇨병적발생솔，임신기양수과소、양수과다、태막조파、산전출혈적발생솔，산시수술산솔，자궁수축핍력인기산후출혈적발생솔，이급거대인、태인생장수한、신생인질식、폐염심지사태등태인신생인불량결국적발생솔。결과임신기대사문란종합정대임신적영향시가이증가조산、양수과소、양수과다적발생，가이증가배태발육이상、태사궁내적발생개솔，산시적영향시증가수술산솔，증가태반조박이급궁축핍력산후출혈적발생솔，대우신생인적영향시증가거대인출생솔，가도치태인생장수한이분면저출생체질량인。잉기체질량과도증장、이상고혈지여임신기대사문란종합정관계밀절，여불량임신결국존재인과관계。결론임신기대사문란종합정시일충대잉모급태인균유엄중불량영향적질병，가강잉기감호급보건，공제체질량、합리영양、급조발현、치료GMS대우감소잉산기병발증，피면불량임신결국구유중요적림상의의。
Objective On patients with pregnancy metabolic disorder syndrome (GMS) whether there is any adverse pregnancy outcomes. Methods Adopts the method of retrospective study, select 53 cases of women in pregnancy who conifrmed as pregnancy metabolic disorder syndrome to be the experimental group, during the period of July 2013 to October 2013 in dalian lvshunkou district people's hospital. And the rest 584 cases of pregnant women as the control group. Survey experimental group and the control group of pregnancy outcomes, including of preeclampsia, gestational hypertension disease, the incidence of gestational diabetes, gestational oligohydramnios, hydramnios, premature rupture of membranes, the incidence of antepartum haemorrhage, intrapartum surgery yields, caused the incidence of postpartum hemorrhage, uterine contractions fatigue and macrosomia, fetal growth restriction, neonatal asphyxia, pneumonia, and even stillbirth etc. The incidence of fetal neonatal adverse outcomes. Results The impact of metabolic disorder syndrome during pregnancy is that it can increase the occurrence of premature birth, oligohydramnios, hydramnios, it can increase the risk of abnormal embryonic development, fetal intrauterine, intrapartum impact is to increase the rate of cesarean delivery, increase of placental abruption and contractions fatigue, the incidence of postpartum hemorrhage for newborn is to increase the inlfuence of macrosomia birthrate, which can lead to fetal growth restriction and childbirth low birth weight. Excessive growth, abnormal pregnancy weight hyperlipidemia and closely related to metabolic disorder syndrome during pregnancy, causal relationship and adverse pregnancy outcomes. Conclusion Metabolic disorder syndrome during pregnancy is diseases that have serious adverse effects to both mother and fetus, strengthen monitoring and health care during pregnancy, weight control, reasonable nutrition, early detection and treatment of GMS is very signiifcant for reducing maternal complications and avoiding adverse pregnancy outcomes.
