CAJ | 학술논문

目的：探讨妊娠合并糖尿病对孕产妇及胎儿预后的影响及有效治疗措施。方法选取2010年1月至2013年10月期间我院妇产科收治的72例妊娠合并糖尿病孕妇作为观察组，同时选取72例妊娠健康孕妇作为对照组。观察两组孕产妇孕期并发症、分娩方式及围产儿预后情况，并进行对比分析。结果观察组孕产妇并发症发生率均高于对照组孕产妇，且观察组孕产妇及围生儿发生巨大儿、早产儿、新生儿窒息、难产率及剖宫产率等均高于对照组孕产妇，两组间比较差异有统计学意义（ P＜0．05）。结论临床上妊娠合并糖尿病孕产妇及围生儿并发症发生、新生儿窒息、难产率及剖宫产率均较高，医师应给予高度的重视，早发现早处理可减少母婴并发症，并对母婴的预后产生积极的影响。
목적：탐토임신합병당뇨병대잉산부급태인예후적영향급유효치료조시。방법선취2010년1월지2013년10월기간아원부산과수치적72례임신합병당뇨병잉부작위관찰조，동시선취72례임신건강잉부작위대조조。관찰량조잉산부잉기병발증、분면방식급위산인예후정황，병진행대비분석。결과관찰조잉산부병발증발생솔균고우대조조잉산부，차관찰조잉산부급위생인발생거대인、조산인、신생인질식、난산솔급부궁산솔등균고우대조조잉산부，량조간비교차이유통계학의의（ P＜0．05）。결론림상상임신합병당뇨병잉산부급위생인병발증발생、신생인질식、난산솔급부궁산솔균교고，의사응급여고도적중시，조발현조처리가감소모영병발증，병대모영적예후산생적겁적영향。
Objective To discuss the impact of gestational diabetes on maternal and fetal , and explore an effective method for treatment .Methods 72 cases of pregnant women who suffered from gestational diabetes , hospitalized in our hospital during January 2010 and October 2013, were employed as the observation group , another 72 cases of healthy pregnant women were selected as control group .Maternal complications during pregnanc , mode of delivery and perinatal prognosis were observed and compared .Results The incidence of maternal complication , tremendous children , preterm children , neonatal asphyxia , dystocia and cesarean section rate of observation group were higher than those of control group , the differences between the two groups were statistically significant(P<0.05).Conclusions Maternal gestational diabetes , perinatal complications children , high neonatal asphyxia , dystocia and cesarean section were common in clinical practice , physicians should pay high priority attention , early detection and early treatment can reduce maternal complications , and have a positive effect on the prognosis of both mother and child .