中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
15期
168-170
,共3页
妊娠期糖尿病%血糖控制%妊娠结局
妊娠期糖尿病%血糖控製%妊娠結跼
임신기당뇨병%혈당공제%임신결국
Gestational diabetes%Glycemic control%Pregnancy outcomes
目的：研究妊娠期糖尿病血糖控制对妊娠结局的影响。方法2011年1月~2013年6月期间，选取75例经相关治疗血糖控制在正常范围内的妊娠期糖尿病孕妇作为研究组，选取未进行血糖控制或血糖控制不理想的75例孕妇作为对照组，同时选取健康孕妇75例，回顾性分析3组孕妇的临床资料，比较妊娠结局。结果研究组75例孕妇中，8例出现妊娠期高血压症、3例出现酮症、5例出现羊水过多、7例出现胎膜早破、3例出现产后出血、7例出现感染，并发症发生情况与健康组相比无显著差异，但明显低于对照组。结论妊娠期糖尿病可导致妊娠期高血压、羊水过多、胎儿窘迫、新生儿窒息等多种并发症，通过加强对妊娠期糖尿病血糖控制，可以明显降低母婴并发症的发生，对于改善妊娠结局具有重要意义。
目的：研究妊娠期糖尿病血糖控製對妊娠結跼的影響。方法2011年1月~2013年6月期間，選取75例經相關治療血糖控製在正常範圍內的妊娠期糖尿病孕婦作為研究組，選取未進行血糖控製或血糖控製不理想的75例孕婦作為對照組，同時選取健康孕婦75例，迴顧性分析3組孕婦的臨床資料，比較妊娠結跼。結果研究組75例孕婦中，8例齣現妊娠期高血壓癥、3例齣現酮癥、5例齣現羊水過多、7例齣現胎膜早破、3例齣現產後齣血、7例齣現感染，併髮癥髮生情況與健康組相比無顯著差異，但明顯低于對照組。結論妊娠期糖尿病可導緻妊娠期高血壓、羊水過多、胎兒窘迫、新生兒窒息等多種併髮癥，通過加彊對妊娠期糖尿病血糖控製，可以明顯降低母嬰併髮癥的髮生，對于改善妊娠結跼具有重要意義。
목적：연구임신기당뇨병혈당공제대임신결국적영향。방법2011년1월~2013년6월기간，선취75례경상관치료혈당공제재정상범위내적임신기당뇨병잉부작위연구조，선취미진행혈당공제혹혈당공제불이상적75례잉부작위대조조，동시선취건강잉부75례，회고성분석3조잉부적림상자료，비교임신결국。결과연구조75례잉부중，8례출현임신기고혈압증、3례출현동증、5례출현양수과다、7례출현태막조파、3례출현산후출혈、7례출현감염，병발증발생정황여건강조상비무현저차이，단명현저우대조조。결론임신기당뇨병가도치임신기고혈압、양수과다、태인군박、신생인질식등다충병발증，통과가강대임신기당뇨병혈당공제，가이명현강저모영병발증적발생，대우개선임신결국구유중요의의。
Objective To investigate the impact of glycemic control on the pregnancy outcomes of patients with gestational diabetes. Methods Seventy-five pregnant women with gestational diabetes whose blood sugar was controlled in the normal range after receiving relevant treatment were selected as the study group; Seventy-five pregnant women who did not receive glycemic control or did not have ideal glycemic control were selected as the control group; Seventy-five healthy pregnant women were selected also. Clinical information of the 3 groups of pregnant women was analyzed retrospectively and their pregnancy outcomes were compared. Results Of the 75 pregnant women in the study group, 8 women had gestational hypertension, 3 women had ketosis, 5 patients had polyhydramnios, 7 patients had premature rupture of membrane, 3 patients had postpartum hemorrhage and 7 patients had infection. The occurrence of complications in the study group was not significantly different from that in the healthy group, but was significantly lower than that in the control group. Conclusion Gestational diabetes can lead to various complications such as gestational hypertension, polyhydramnios, fetal distress and neonatal asphyxia. Enhancing glycemic control of pregnant women with gestational diabetes can obviously reduce the occurrence of maternal and child complications and is of important significance to improving pregnancy outcomes.
