糖尿病新世界
糖尿病新世界
당뇨병신세계
Diabetes New World
2015年
18期
196-198
,共3页
袁瑗%杨琳芬%吴晓霞%陈春玲%杨帆
袁瑗%楊琳芬%吳曉霞%陳春玲%楊帆
원원%양림분%오효하%진춘령%양범
妊娠期糖尿病%新诊断标准%母婴结局
妊娠期糖尿病%新診斷標準%母嬰結跼
임신기당뇨병%신진단표준%모영결국
The diabetes mellitus in pregnancy%The new diagnostic criteria%The consequence between mother and infant
目的 探讨妊娠期糖尿病新诊断标准对母婴结局的影响. 方法 回顾性总结在该院产科自2012年5月—2013年5月分娩的65例妊娠期糖尿病孕妇(观察组)与65例低危孕妇(对照组)的围生期结局. 比较两组妊娠期并发症、分娩孕周、分娩方式及围生儿并发症. 结果 采用妊娠期糖尿病新诊断标准后,应用胰岛素治疗的孕妇占妊娠期糖尿病的10.0%,比较两组患者胎膜早破、羊水异常以及产后出血差异无统计学意义(P>0.05).比较顺产和剖宫产,发现差异有统计学意义(P<0.05);比较两组新生儿巨大儿、新生儿窒息、早产儿、黄疸等症状,发现差异无统计学意义(P>0.05).比较两组新生儿低血糖、转儿科率发现观察组显著高于对照组,差异有统计学意义(P<0.05). 结论 妊娠期糖尿病采用新诊断标准,主动实施孕期体重管理以及膳食指导,必要时应用胰岛素治疗,能够有效控制母儿并发症的发生率.
目的 探討妊娠期糖尿病新診斷標準對母嬰結跼的影響. 方法 迴顧性總結在該院產科自2012年5月—2013年5月分娩的65例妊娠期糖尿病孕婦(觀察組)與65例低危孕婦(對照組)的圍生期結跼. 比較兩組妊娠期併髮癥、分娩孕週、分娩方式及圍生兒併髮癥. 結果 採用妊娠期糖尿病新診斷標準後,應用胰島素治療的孕婦佔妊娠期糖尿病的10.0%,比較兩組患者胎膜早破、羊水異常以及產後齣血差異無統計學意義(P>0.05).比較順產和剖宮產,髮現差異有統計學意義(P<0.05);比較兩組新生兒巨大兒、新生兒窒息、早產兒、黃疸等癥狀,髮現差異無統計學意義(P>0.05).比較兩組新生兒低血糖、轉兒科率髮現觀察組顯著高于對照組,差異有統計學意義(P<0.05). 結論 妊娠期糖尿病採用新診斷標準,主動實施孕期體重管理以及膳食指導,必要時應用胰島素治療,能夠有效控製母兒併髮癥的髮生率.
목적 탐토임신기당뇨병신진단표준대모영결국적영향. 방법 회고성총결재해원산과자2012년5월—2013년5월분면적65례임신기당뇨병잉부(관찰조)여65례저위잉부(대조조)적위생기결국. 비교량조임신기병발증、분면잉주、분면방식급위생인병발증. 결과 채용임신기당뇨병신진단표준후,응용이도소치료적잉부점임신기당뇨병적10.0%,비교량조환자태막조파、양수이상이급산후출혈차이무통계학의의(P>0.05).비교순산화부궁산,발현차이유통계학의의(P<0.05);비교량조신생인거대인、신생인질식、조산인、황달등증상,발현차이무통계학의의(P>0.05).비교량조신생인저혈당、전인과솔발현관찰조현저고우대조조,차이유통계학의의(P<0.05). 결론 임신기당뇨병채용신진단표준,주동실시잉기체중관리이급선식지도,필요시응용이도소치료,능구유효공제모인병발증적발생솔.
Objective To explore the influence on maternal and infant through new diagnostic criteria for the Diabetes Mellitus in Pregnancy. Methods The retrospective in obstetric hospital from May 2012 to May 2013 delivery of 65 cases of gestational diabetes in pregnant women (study group) and 65 cases of low-risk pregnant women (control group) Perinatal outcome. Pregnancy complications between the two groups, gestational age, mode of delivery and perinatal child complications. Results With the new diagnostic criteria of gestational diabetes, insulin therapy in pregnant women accounted for 10.0% of gestational diabetes were compared in patients with premature rupture of membranes, amniotic fluid abnormalities, and postpartum hemorrhage was no significant difference (P>0.05). Comparison of birth and cesarean section, found statistically significant (P<0.05);two groups of neonatal huge child, neonatal asphyxia, premature children, jaundice and other symptoms, found no statistically significant difference (P>0.05). Comparison of the two groups of neonatal hypoglycemia, turn pediatrics rate found in the observation group was significantly higher, the difference was statistically significant (P<0.05). Conclusion Gestational diabetes diagnostic criteria, adopting the new initiative before pregnancy weight management and dietary guid-ance, insulin treatment when necessary, can effectively control the incidence of complications.
