医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
7期
1300-1302
,共3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 mellitus%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。方法选取2011年1月至2013年4月在湖北省新华医院行产前检查并确诊为妊娠期糖尿病的孕妇140例为研究对象，根据血糖控制情况将孕妇分为控制良好组（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。结果控制不良组妊娠期高血压、羊水过多、酮症酸中毒、产后出血、剖宫产手术等的发生率显著高于血糖控制组（P＜0.05）；控制不良组胎儿早产、巨大儿、新生儿窒息、新生儿低血糖、新生儿高胆红素血症等的发生率也显著高于控制组（P＜0.05）。超重或肥胖、妊娠年龄、高血红蛋白血症、月经周期紊乱、不良孕产史、糖尿病家族史6个因素是GDM发病的危险因素。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，以期降低 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。方法選取2011年1月至2013年4月在湖北省新華醫院行產前檢查併確診為妊娠期糖尿病的孕婦140例為研究對象，根據血糖控製情況將孕婦分為控製良好組（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。結果控製不良組妊娠期高血壓、羊水過多、酮癥痠中毒、產後齣血、剖宮產手術等的髮生率顯著高于血糖控製組（P＜0.05）；控製不良組胎兒早產、巨大兒、新生兒窒息、新生兒低血糖、新生兒高膽紅素血癥等的髮生率也顯著高于控製組（P＜0.05）。超重或肥胖、妊娠年齡、高血紅蛋白血癥、月經週期紊亂、不良孕產史、糖尿病傢族史6箇因素是GDM髮病的危險因素。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，以期降低 GDM 對母嬰妊娠結跼的影響。
목적：탐토임신기당뇨병（ GDM）발병적위험인소급혈당공제대모영임신결국적영향。방법선취2011년1월지2013년4월재호북성신화의원행산전검사병학진위임신기당뇨병적잉부140례위연구대상，근거혈당공제정황장잉부분위공제량호조（83례）화공제불량조（57례），분석영향GDM발병적위험인소，비교혈당공제량호조화불량조모영임신결국급병발증발생정황。결과공제불량조임신기고혈압、양수과다、동증산중독、산후출혈、부궁산수술등적발생솔현저고우혈당공제조（P＜0.05）；공제불량조태인조산、거대인、신생인질식、신생인저혈당、신생인고담홍소혈증등적발생솔야현저고우공제조（P＜0.05）。초중혹비반、임신년령、고혈홍단백혈증、월경주기문란、불량잉산사、당뇨병가족사6개인소시GDM발병적위험인소。결론응중시 GDM 발병적위험인소，조발현、조진단、조치료 GDM，중점공제임신기혈당수평，이기강저 GDM 대모영임신결국적영향。
Objective To explore the risk factors of gestational diabetes mellitus ( GDM) ,and study the effect of blood sugar intervention on pregnancy outcome.Methods A total of 140 pregnant women under-went prenatal examination and diagnosed as GDM patients in Hubei Xinhua Hospital from Jan .2011 to Apr. 2013 were chosen as the research objects and divided into good control group ( n =83 ) and poor control group ( n=57 ) according to the condition of blood sugar control .The risk factors of GDM were analyzed and pregnancy outcome and complications of the two groups were compared .Results The complication incidence rates of pregnancy-induced hypertension syndrome,hydramnios,ketoacidosis,postpartum hemorrhage,uterine-incision delivery of the poor control group were significantly higher than those of good control group ( P <0.05),incidence rates of premature delivery,large for date infant,neonatal asphyxia,hypoglycemia of new-born and hyperbilirubinemia of the poor control group were also significantly higher than those of good control group(P <0.05).Overweight or obesity,gestational age,hyperhemoglobinemia,menstrual cycle disorder, abnormal pregnancy history and family history of diabetes were the risk factors of GDM .Conclusion It is important for the clinicians to pay more attention on the risk factors of GDM,and make early examination, diagnosis and treatment,in order to control the blood sugar level and improve the pregnancy outcome .
