当代医药论丛
噹代醫藥論叢
당대의약론총
Contemporary Medicine Forum
2014年
5期
74-75
,共2页
妊娠期糖尿病筛查%孕期营养指导%重要性
妊娠期糖尿病篩查%孕期營養指導%重要性
임신기당뇨병사사%잉기영양지도%중요성
Screening for gestational diabetes mellitus%Nutritional guidance during pregnancy%Importance
目的:探讨妊娠期糖尿病(GDM)筛查在临床中的应用价值。方法:随机选取2011年10月-2013年10月在我院门诊就诊的50例孕妇作为研究对象。在实验中,为所有孕妇均进行GDM筛查,并密切监测其围生期的胎儿变化和最终的分娩情况。结果:①在这50例孕妇中,GDM筛查结果为阳性的有20例,阳性率为40%。为其中的10例孕妇进行OGTT试验(葡萄糖耐量试验),结果显示,有6例孕妇存在OGTT异常的现象:4例被确诊患有GDM,2例被确诊发生了GIGT(糖耐量受损)。②在6例OGTT异常的孕妇中,存在糖尿病家族史的孕妇有4例,存在自然流产史的孕妇有2例;发生胎儿窘迫的孕妇有1例,发生胎盘早剥的孕妇有1例,发生妊高症的孕妇有1例,发生产后出血的孕妇有1例,娩出巨大胎儿的孕妇有2例;通过剖宫产手术分娩的孕妇有4例,自然分娩的产妇有2例。结论:为孕妇进行GDM筛查能够有效避免其因糖尿病而导致的产科并发症,从而确保母婴的安全。
目的:探討妊娠期糖尿病(GDM)篩查在臨床中的應用價值。方法:隨機選取2011年10月-2013年10月在我院門診就診的50例孕婦作為研究對象。在實驗中,為所有孕婦均進行GDM篩查,併密切鑑測其圍生期的胎兒變化和最終的分娩情況。結果:①在這50例孕婦中,GDM篩查結果為暘性的有20例,暘性率為40%。為其中的10例孕婦進行OGTT試驗(葡萄糖耐量試驗),結果顯示,有6例孕婦存在OGTT異常的現象:4例被確診患有GDM,2例被確診髮生瞭GIGT(糖耐量受損)。②在6例OGTT異常的孕婦中,存在糖尿病傢族史的孕婦有4例,存在自然流產史的孕婦有2例;髮生胎兒窘迫的孕婦有1例,髮生胎盤早剝的孕婦有1例,髮生妊高癥的孕婦有1例,髮生產後齣血的孕婦有1例,娩齣巨大胎兒的孕婦有2例;通過剖宮產手術分娩的孕婦有4例,自然分娩的產婦有2例。結論:為孕婦進行GDM篩查能夠有效避免其因糖尿病而導緻的產科併髮癥,從而確保母嬰的安全。
목적:탐토임신기당뇨병(GDM)사사재림상중적응용개치。방법:수궤선취2011년10월-2013년10월재아원문진취진적50례잉부작위연구대상。재실험중,위소유잉부균진행GDM사사,병밀절감측기위생기적태인변화화최종적분면정황。결과:①재저50례잉부중,GDM사사결과위양성적유20례,양성솔위40%。위기중적10례잉부진행OGTT시험(포도당내량시험),결과현시,유6례잉부존재OGTT이상적현상:4례피학진환유GDM,2례피학진발생료GIGT(당내량수손)。②재6례OGTT이상적잉부중,존재당뇨병가족사적잉부유4례,존재자연유산사적잉부유2례;발생태인군박적잉부유1례,발생태반조박적잉부유1례,발생임고증적잉부유1례,발생산후출혈적잉부유1례,면출거대태인적잉부유2례;통과부궁산수술분면적잉부유4례,자연분면적산부유2례。결론:위잉부진행GDM사사능구유효피면기인당뇨병이도치적산과병발증,종이학보모영적안전。
Objective:EvaluateGDM clinical application value of screening. Method:Random October 2011 to October 2013 in the outpatient clinic of 50 pregnant women as research subjects. GDM screening for all pregnant women, and closely monitor perinatal changes and final delivery of the fetus. Results: ① in 50 cases of pregnant women, 20 cases of GDM screening result is positive(40%). For 10 pregnant women of the OGTT test, results show that the abnormality of OGTT phenomena 6 pregnant women. ② in 6 cases OGTT exception of pregnant women, exists diabetes family history of pregnant women has 4 cases, exists natural abortion history of pregnant women has 2 cases; occurred fetal distress of pregnant women has 1 cases, occurred placenta early stripping of pregnant women has 1 cases, occurred pregnancy high syndrome of pregnant women has 1 cases, occurred postpartum bleeding of pregnant women has 1 cases, delivery huge fetal of pregnant women has 2 cases; through profile Palace produced surgery delivery of pregnant women has 4 cases, natural delivery of maternal has 2 cases. Conclusion: Screening for GDM in pregnant women can avoid its obstetric complications due to diabetes, so as to ensure the safety of mother and child.