中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2015年
7期
650-653
,共4页
沈爱红%孙桂君%杨永红%赵磊%冯秋花%宿敬存
瀋愛紅%孫桂君%楊永紅%趙磊%馮鞦花%宿敬存
침애홍%손계군%양영홍%조뢰%풍추화%숙경존
妊娠期糖尿病%规范化干预%妊娠结局
妊娠期糖尿病%規範化榦預%妊娠結跼
임신기당뇨병%규범화간예%임신결국
Gestational diabetes mellitus%Standardization of diagnosis and treatment%Pregnancy outcomes
目的 观察妊娠期糖尿病(GDM)的规范化治疗对妊娠与围生儿结局的影响.方法 选取2010年1月至2012年10月收治的45例GDM血糖控制满意者(规范治疗组)和36例GDM血糖控制不满意者(未规范治疗组),并同时抽取同期住院的单胎血糖正常孕妇50例为正常对照组.对研究者的妊娠结局、围生儿结局进行比较分析.结果 (1)3组产妇妊娠结局比较:未规范治疗组并发妊娠期高血压疾病(27.8％)、羊水过多(22.2％)、早产(16.7％)、剖宫产率(80.5％)及产褥病发生率(13.9％)高于规范治疗组[8.9％、6.7％、2.2％、55.6％、2.2％]与正常对照组[6.0％、4.0％、2.0％、46.0％、2.0％],差异有统计学意义(P均＜0.05).(2)3组产妇围生儿结局比较:未规范治疗组巨大儿(27.8％)、新生儿低血糖(41.7％)、新生儿窒息率发生率(22.2％)高于规范治疗组[4.4％、17.8％、6.7％]与正常对照组[6.0％、2.0％、4.0％],差异有统计学意义(P均＜0.05).结论 GDM增加母婴并发症的发生,早期诊断,规范化干预能降低母婴并发症发生、改善妊娠结局.
目的 觀察妊娠期糖尿病(GDM)的規範化治療對妊娠與圍生兒結跼的影響.方法 選取2010年1月至2012年10月收治的45例GDM血糖控製滿意者(規範治療組)和36例GDM血糖控製不滿意者(未規範治療組),併同時抽取同期住院的單胎血糖正常孕婦50例為正常對照組.對研究者的妊娠結跼、圍生兒結跼進行比較分析.結果 (1)3組產婦妊娠結跼比較:未規範治療組併髮妊娠期高血壓疾病(27.8％)、羊水過多(22.2％)、早產(16.7％)、剖宮產率(80.5％)及產褥病髮生率(13.9％)高于規範治療組[8.9％、6.7％、2.2％、55.6％、2.2％]與正常對照組[6.0％、4.0％、2.0％、46.0％、2.0％],差異有統計學意義(P均＜0.05).(2)3組產婦圍生兒結跼比較:未規範治療組巨大兒(27.8％)、新生兒低血糖(41.7％)、新生兒窒息率髮生率(22.2％)高于規範治療組[4.4％、17.8％、6.7％]與正常對照組[6.0％、2.0％、4.0％],差異有統計學意義(P均＜0.05).結論 GDM增加母嬰併髮癥的髮生,早期診斷,規範化榦預能降低母嬰併髮癥髮生、改善妊娠結跼.
목적 관찰임신기당뇨병(GDM)적규범화치료대임신여위생인결국적영향.방법 선취2010년1월지2012년10월수치적45례GDM혈당공제만의자(규범치료조)화36례GDM혈당공제불만의자(미규범치료조),병동시추취동기주원적단태혈당정상잉부50례위정상대조조.대연구자적임신결국、위생인결국진행비교분석.결과 (1)3조산부임신결국비교:미규범치료조병발임신기고혈압질병(27.8％)、양수과다(22.2％)、조산(16.7％)、부궁산솔(80.5％)급산욕병발생솔(13.9％)고우규범치료조[8.9％、6.7％、2.2％、55.6％、2.2％]여정상대조조[6.0％、4.0％、2.0％、46.0％、2.0％],차이유통계학의의(P균＜0.05).(2)3조산부위생인결국비교:미규범치료조거대인(27.8％)、신생인저혈당(41.7％)、신생인질식솔발생솔(22.2％)고우규범치료조[4.4％、17.8％、6.7％]여정상대조조[6.0％、2.0％、4.0％],차이유통계학의의(P균＜0.05).결론 GDM증가모영병발증적발생,조기진단,규범화간예능강저모영병발증발생、개선임신결국.
Objective To observe the effects of standardized treatment to pregnancy and perinatal outcome of children gestational diabetes (GDM).Methods Forty-five cases of GDM glycemic control satisfied patients and 36 cases of GDM glycemic control dissatisfied patients were enrolled in this study who in the General Hospital of Jizhong Energy Feng Feng Group hospital from January 2010 to October 2012,and 50 cases of the same period of hospitalization single fetal blood sugar normal pregnant women were randomly selected as control group.Pregnancy outcome and perinatal outcome of three groups were analyzed and compared.Results (1) Pregnancy outcome of three groups:the incidence of concurrent gestational hypertension (27.8％),polyhydramnios(22.2％),premature delivery (16.7％),cesarean section rate (80.5％) and puerperalism (13.9％) in GDM glycemic control dissatisfied patients were higher than those of GDM glycemic control satisfied patients (8.9％,6.7％,2.2％,55.6％,2.2％) and control group (6.0％,4.0％,2.0％,46.0％,2.0％),and the differences were statistically significant (P＜ 0.05).(2) Perinatal outcome of three groups:the incidence of huge child (27.8％),neonatal hypoglycemia (41.7％),neonatal asphyxia rate (22.2％) of GDM glycemic control dissatisfied patients were higher than those of GDM glycemic control satisfied patients (4.4％,17.8％,6.7％) and control group (6.0％,2.0％,4.0％),and the differences were statistically significant (P＜0.05).Conclusion Gestational diabetes increases the incidence of infant and maternal complications,early diagnosis,standardized diagnosis and treatment can reduce infant and maternal complications,improve pregnancy outcomes.
