CAJ | 학술논문

目的探讨妊娠期糖尿病新诊断标准(IADPSG)下GDM的发病率,并分析与妊娠结局的关系.方法我院2011年6月~11月住院分娩1241人,按照:《妇产科学》第6版标准诊断治疗后分娩的妊娠期糖尿病孕妇57例(A 组);2011年12月~2012年5月住院分娩1326人,按照 IADPSG 标准诊断治疗后分娩的妊娠期糖尿病孕妇162例(B 组),计算两组妊娠期糖尿病的发病率,分析两组孕产妇及围生儿并发症的发生 ,并进行统计学分析.结果①《妇产科学》第6版诊断标准下,妊娠期糖尿病发病率为4.59%(57/1241),IADPSG 标准诊断下,妊娠期糖尿病发病率为12.22%(162/1326),明显升高,差异有统计学意义;②分娩孕周 B 组明显大于 A 组,差异有统计学意义;③分娩前空腹血糖控制情况,B 组明显低于 A 组,差异有统计学意义;④ B 组妊娠期高血压疾病、子痫前期、羊水过多、早产、死胎、剖宫产率、巨大儿、新生儿低血糖、新生儿窒息明显低于 A 组,差异有统计学意义(P<0.05).结论妊娠期糖尿病新诊断标准下, GDM 孕妇经过诊治后明显减少了妊娠期并发症,降低了剖宫产率,说明新的诊断标准更有益于母婴保健.
목적탐토임신기당뇨병신진단표준(IADPSG)하GDM적발병솔,병분석여임신결국적관계.방법아원2011년6월~11월주원분면1241인,안조:《부산과학》제6판표준진단치료후분면적임신기당뇨병잉부57례(A 조);2011년12월~2012년5월주원분면1326인,안조 IADPSG 표준진단치료후분면적임신기당뇨병잉부162례(B 조),계산량조임신기당뇨병적발병솔,분석량조잉산부급위생인병발증적발생 ,병진행통계학분석.결과①《부산과학》제6판진단표준하,임신기당뇨병발병솔위4.59%(57/1241),IADPSG 표준진단하,임신기당뇨병발병솔위12.22%(162/1326),명현승고,차이유통계학의의;②분면잉주 B 조명현대우 A 조,차이유통계학의의;③분면전공복혈당공제정황,B 조명현저우 A 조,차이유통계학의의;④ B 조임신기고혈압질병、자간전기、양수과다、조산、사태、부궁산솔、거대인、신생인저혈당、신생인질식명현저우 A 조,차이유통계학의의(P<0.05).결론임신기당뇨병신진단표준하, GDM 잉부경과진치후명현감소료임신기병발증,강저료부궁산솔,설명신적진단표준경유익우모영보건.
Objective: The morbility and pregnancy outcome of gestational diabetes melitus after new diagnostic code (IADPSG).Methods:1241 cases between June 2011 and November 2011 in the hospital patients department of obstetrics of the first affiliated hospital of Soochow University,there were 57 cases (group A) of gestational diabetes melitus according diagnostic code of six edition《obstetrics and gynecology》; 1326 cases between November 2011 and May 2012,there were 162 cases (group B) of gestational diabetes melitus according IADPSG. The morbility of gestational diabetes melitus and the complications of pregnant women and neonatus were analyzed. Results:–The morbility of group B was obviously higher than group A(P<0.05);–The gestational weeks of delivery in group B was obviously higher than group A(P<0.05); ③ The fasting blood glucose of prior to delivery in group B was obviously lower than group A(P<0.05); ④ The incidence rate of pregnancy-induced hypertension disease、eclampsism、hydramnios、premature delivery、fetal death、the rate of uterine-incision delivery、large for date infant、neonatal hypoglycemia、asphyxia neonatorum in group B was obviously lower than group A(P<0.05).Conclusions:According IADPSG,the complications of gestation period and the rate of uterine-incision delivery were obviously lower after treatment in GDM patients, it was beneficial to maternal and infant.