CAJ | 학술논문

目的：探讨妊娠期糖尿病孕妇血糖控制对妊娠结局的影响。方法选择68例妊娠期糖尿病孕妇，根据血糖控制情况将其分为血糖控制理想组（ A组，38例）和血糖控制不理想组（ B组，30例），同时选择50例正常孕妇为对照组，分别比较A组与B组、A组与对照组孕妇妊娠结局有无差异。结果 A组剖宫产率、新生儿低血糖发生率、大于胎龄儿出生率、巨大儿发生率、先天畸形发生率、低钙血症发生率均低于B组，差异具有统计学意义（P<0.05）。A组与对照组无明显差异（ P>0.05）。结论妊娠期糖尿病孕妇血糖控制能够影响妊娠结局，产前对妊娠期糖尿病孕妇进行及早评价与干预可以有效降低剖宫产率及新生儿疾病的发生。
목적：탐토임신기당뇨병잉부혈당공제대임신결국적영향。방법선택68례임신기당뇨병잉부，근거혈당공제정황장기분위혈당공제이상조（ A조，38례）화혈당공제불이상조（ B조，30례），동시선택50례정상잉부위대조조，분별비교A조여B조、A조여대조조잉부임신결국유무차이。결과 A조부궁산솔、신생인저혈당발생솔、대우태령인출생솔、거대인발생솔、선천기형발생솔、저개혈증발생솔균저우B조，차이구유통계학의의（P<0.05）。A조여대조조무명현차이（ P>0.05）。결론임신기당뇨병잉부혈당공제능구영향임신결국，산전대임신기당뇨병잉부진행급조평개여간예가이유효강저부궁산솔급신생인질병적발생。
Obiective:To investigate the impact of controlling plasma glycemia on the pregnant results in pregnant women with gestational diabetes mellitus( GDM). Methods:Sixty-eight cases of pregnant women with GDM were selected, and according to the level of plasma glycemia,they were divided into two groups:well-controlled group( group A,38 ca-ses)and poor-controlled group( group B,30 cases). Meanwhile,50 in normal pregnancy were selected as the control group,then,group A and group B,group A and control group were compared to find the difference in the pregnant result. Results:The incidence of caesarean section,hypoglycemia,large for gestationgal age,fetal macrosomia,congenital malfor-mations and hypocalcemia of group A were lower than those of group B,and the difference had statistical significance( P<0. 05). There was no difference between group A and the control group(P>0. 05). Conclusion:The controlling plasma glycemia in pregnant women with gestational diabetes mellitus directly affects the pregnant results. The timely evaluation and intervention in pregnant women with GDM can reduce the incidence of caesarean section and prevent the neonatal dises-ases.