湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
Journal of Hunan Normal University (Medical Science)
2015年
4期
101-103
,共3页
陈香%孙静%庞颖%权晓芳
陳香%孫靜%龐穎%權曉芳
진향%손정%방영%권효방
妊娠期糖尿病%危险因素%母婴结局%临床研究
妊娠期糖尿病%危險因素%母嬰結跼%臨床研究
임신기당뇨병%위험인소%모영결국%림상연구
Gestational diabetes%Risk factors%Maternal and neonatal outcomes%Clinical research
目的：评估妊娠期糖尿病患者的危险因素，并且探讨该因素对母婴结果的影响。方法：收集2013年1月～2014年9月本院收治的妊娠期糖尿病186例，设为研究组；收集同期在本院生产的健康产妇206例，设为对照组，并记录研究组和对照组患者的临床资料。结果：研究组在分娩方式剖宫产、胎膜早破、产后出血、子痫前期、羊水过多、羊水过少、羊水污染、早产、胎盘早剥、妊娠期高血压病、酮症酸中毒、胎儿宫内窘迫的发生率高于对照组，差异有统计学意义；研究组在巨大儿、新生儿窒息、低体重儿、新生儿低血糖、新生儿肺炎、新生儿高胆红素血症、新生儿畸形的发生率高于对照组，差异有统计学意义。结论：高龄、家族糖尿病史及孕前肥胖为妊娠期糖尿病患者的危险因素，并且对母婴结果有较大的危害。
目的：評估妊娠期糖尿病患者的危險因素，併且探討該因素對母嬰結果的影響。方法：收集2013年1月～2014年9月本院收治的妊娠期糖尿病186例，設為研究組；收集同期在本院生產的健康產婦206例，設為對照組，併記錄研究組和對照組患者的臨床資料。結果：研究組在分娩方式剖宮產、胎膜早破、產後齣血、子癇前期、羊水過多、羊水過少、羊水汙染、早產、胎盤早剝、妊娠期高血壓病、酮癥痠中毒、胎兒宮內窘迫的髮生率高于對照組，差異有統計學意義；研究組在巨大兒、新生兒窒息、低體重兒、新生兒低血糖、新生兒肺炎、新生兒高膽紅素血癥、新生兒畸形的髮生率高于對照組，差異有統計學意義。結論：高齡、傢族糖尿病史及孕前肥胖為妊娠期糖尿病患者的危險因素，併且對母嬰結果有較大的危害。
목적：평고임신기당뇨병환자적위험인소，병차탐토해인소대모영결과적영향。방법：수집2013년1월～2014년9월본원수치적임신기당뇨병186례，설위연구조；수집동기재본원생산적건강산부206례，설위대조조，병기록연구조화대조조환자적림상자료。결과：연구조재분면방식부궁산、태막조파、산후출혈、자간전기、양수과다、양수과소、양수오염、조산、태반조박、임신기고혈압병、동증산중독、태인궁내군박적발생솔고우대조조，차이유통계학의의；연구조재거대인、신생인질식、저체중인、신생인저혈당、신생인폐염、신생인고담홍소혈증、신생인기형적발생솔고우대조조，차이유통계학의의。결론：고령、가족당뇨병사급잉전비반위임신기당뇨병환자적위험인소，병차대모영결과유교대적위해。
ObjectiveTo investigate the risk factors of gestational diabetes mellitus, and explored their influences on ma-ternal and neonatal outcomes. Methods 108 GDM women were investigated from January, 2013 to September, 2014 who deliv-eryed in our hospital, the establishment of experimental group. At the same time 206 without GDM women who were synchro-nization childbirth in our hospital used as control. The Clinical character of two group were studied. Results The experimental group of average age, family history with DM, Pre-pregnancy body mass index, and prenatal body mass index were significantly higher than the contrast group. The difference was statistically significant. The experimental group of delivery mode, prema-ture rupture of membranes, maternal postnatal bleeding, preeclampsia, polyhydramnios, oligohydramnios, meconium, preterm, abruption, gestational hypertension, ketoacidosis, and fetal distress were significantly higher than the contrast group. The differ-ence was statistically significant. The experimental group of great children, neonatal asphyxia, low birth weight children, neona-tal hypoglycemia, neonatal pneumonia, neonatal hyperbilirubinemia,and birth defects were significantly higher than the contrast group. The difference was statistically significant. Conclusion The main influencing factors of GDM were age, family history of DM and obesity. And these factors had greater harm on maternal and neonatal outcomes.
