医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
3期
29-29,30
,共2页
妊娠期糖尿病%妊娠结局%并发症%危险因素%血糖
妊娠期糖尿病%妊娠結跼%併髮癥%危險因素%血糖
임신기당뇨병%임신결국%병발증%위험인소%혈당
Gestational diabetes mel itus%Pregnancy outcome%Complication%Risk factors%Blood sugar
目的：探讨妊娠期糖尿病(GDM)发病的危险因素及血糖控制对母婴妊娠结局的影响。方法收集确诊的140例GDM患者作为病例组和140例正常孕妇为对照组，根据血糖控制情况将GDM病例分为血糖控制良好组(83例)和控制不良组(57例)；分析影响GDM发病的危险因素，比较血糖控制良好组和不良组母婴妊娠结局及并发症发生情况。结果多因素分析结果显示，超重或肥胖(=3.019)、妊娠年龄(=1.568)、高血红蛋白血症(=1.519)、月经周期紊乱(=2.018)、不良孕产史(=2.815)、糖尿病家族史(=4.948)均为GDM发病的危险因素。血糖控制不良组的妊娠期高血压疾病、羊水过多、酮症酸中毒、产后出血、剖宫产等并发症发生率均明显高于控制组(P<0.05)；控制不良组的早产、巨大儿、新生儿窒息、新生儿低血糖、高胆红素血症等并发症发生率明显高于控制组(P<0.05)。结论应重视GDM发病的危险因素，早发现、早诊断、早治疗GDM，重点控制妊娠期血糖水平，从而降低GDM对母婴妊娠结局的影响。
目的：探討妊娠期糖尿病(GDM)髮病的危險因素及血糖控製對母嬰妊娠結跼的影響。方法收集確診的140例GDM患者作為病例組和140例正常孕婦為對照組，根據血糖控製情況將GDM病例分為血糖控製良好組(83例)和控製不良組(57例)；分析影響GDM髮病的危險因素，比較血糖控製良好組和不良組母嬰妊娠結跼及併髮癥髮生情況。結果多因素分析結果顯示，超重或肥胖(=3.019)、妊娠年齡(=1.568)、高血紅蛋白血癥(=1.519)、月經週期紊亂(=2.018)、不良孕產史(=2.815)、糖尿病傢族史(=4.948)均為GDM髮病的危險因素。血糖控製不良組的妊娠期高血壓疾病、羊水過多、酮癥痠中毒、產後齣血、剖宮產等併髮癥髮生率均明顯高于控製組(P<0.05)；控製不良組的早產、巨大兒、新生兒窒息、新生兒低血糖、高膽紅素血癥等併髮癥髮生率明顯高于控製組(P<0.05)。結論應重視GDM髮病的危險因素，早髮現、早診斷、早治療GDM，重點控製妊娠期血糖水平，從而降低GDM對母嬰妊娠結跼的影響。
목적：탐토임신기당뇨병(GDM)발병적위험인소급혈당공제대모영임신결국적영향。방법수집학진적140례GDM환자작위병례조화140례정상잉부위대조조，근거혈당공제정황장GDM병례분위혈당공제량호조(83례)화공제불량조(57례)；분석영향GDM발병적위험인소，비교혈당공제량호조화불량조모영임신결국급병발증발생정황。결과다인소분석결과현시，초중혹비반(=3.019)、임신년령(=1.568)、고혈홍단백혈증(=1.519)、월경주기문란(=2.018)、불량잉산사(=2.815)、당뇨병가족사(=4.948)균위GDM발병적위험인소。혈당공제불량조적임신기고혈압질병、양수과다、동증산중독、산후출혈、부궁산등병발증발생솔균명현고우공제조(P<0.05)；공제불량조적조산、거대인、신생인질식、신생인저혈당、고담홍소혈증등병발증발생솔명현고우공제조(P<0.05)。결론응중시GDM발병적위험인소，조발현、조진단、조치료GDM，중점공제임신기혈당수평，종이강저GDM대모영임신결국적영향。
Objective To explore the risk factors of gestational diabetes mel itus (GDM), and study the ef ect of blood sugar intervention af ecting pregnancy outcome. Methods With case-control study method, 140cases of GDM patients as case group and 140 cases without this disease as control group were col ected. GDM cases were divided into good blood sugar control group (83 cases) and not good control group (57 cases) according to blood sugar control condition. The risk factors of GDM were analyzed and pregnancy outcome and complications were compared between good and not good control groups. Results Multiple factors Logistic Regression analysis result showed that overweight or obesity (OR=3.019), gestational age (OR=1.568), hyperhemoglobinemia (OR=1.519), menstrual cycle disorder (OR=2. 018), adverse pregnancy history (OR=2.815), history of diabetes mel itus (OR=4.948). The complications incidence rates of pregnancy-induced hypertension syndrome, hydramnios, ketoacidosis, postpartum hemorrhage, uterine-incision delivery, premature delivery, large for date infant, neonatal asphyxia, hypoglycemia of newborn and hyperbilirubinemia in not good control group were much higher than not good control group ( <0.05). Conclusion We should think highly of the risk factors of GDM, early discovering, early diagnosing and early treating GDM, especial y control ing blood sugar level, thus cut down the ef ect of GDM to pregnancy outcome.
