糖尿病新世界
糖尿病新世界
당뇨병신세계
Diabetes New World
2015年
18期
69-71
,共3页
妊娠期糖尿病%早期筛查%干预%围产期
妊娠期糖尿病%早期篩查%榦預%圍產期
임신기당뇨병%조기사사%간예%위산기
Gestational diabetes mellitus%Early screening%Intervention%Perinatal period
目的 探讨对妊娠期糖尿病(Gestational Diabetes Mellitus,GDM)患者进行早期筛查并采取干预措施对母婴围产期所带来的影响. 方法 选取2014年1月—2015年6月期间前来该院就诊的孕妇70例作为研究对象. 其中观察组35例孕妇在孕早期即接受系统性检查,被确诊为GDM后及时采取干预措施进行治疗,将另外35例孕妇设置为对照组,均为接受任何系统性的产前检查,直至孕晚期才被确诊为GDM,未给予任何治疗. 比较两组产妇的妊娠结局. 结果 观察组孕妇妊娠结局(妊娠期高血压疾病 4例,占11.43%;胎儿窘迫1例,占 2.86%;羊水过多4例,占11.43%;产后出血2例,占5.71%)明显优于对照组妊娠结局(妊娠期高血压疾病11例,占31.43%;胎儿窘迫5例,占14.29%;羊水过多8例,占22.86%;产后出血7例,占20.00%),两组比较差异有统计学意义(P<0.05);新生儿并发症(早产2例,占5.71%;巨大儿3例,占8.57%;窒息2例,占5.71%;低血糖2例,占5.71%)的发生率也要明显低于对照组(早产7例,占20.00%;巨大儿8例,占22.86%;窒息6例,占17.14%;低血糖7例,占20.00%),两组比较差异有统计学意义(P<0.05). 结论 对妊娠期糖尿病患者实施早期筛查并进行及时干预,对于改善GDM孕妇的妊娠结局具有明显作用,有助于改善妊娠结局,降低围产期母婴并发症发生率,可保障母婴安全.
目的 探討對妊娠期糖尿病(Gestational Diabetes Mellitus,GDM)患者進行早期篩查併採取榦預措施對母嬰圍產期所帶來的影響. 方法 選取2014年1月—2015年6月期間前來該院就診的孕婦70例作為研究對象. 其中觀察組35例孕婦在孕早期即接受繫統性檢查,被確診為GDM後及時採取榦預措施進行治療,將另外35例孕婦設置為對照組,均為接受任何繫統性的產前檢查,直至孕晚期纔被確診為GDM,未給予任何治療. 比較兩組產婦的妊娠結跼. 結果 觀察組孕婦妊娠結跼(妊娠期高血壓疾病 4例,佔11.43%;胎兒窘迫1例,佔 2.86%;羊水過多4例,佔11.43%;產後齣血2例,佔5.71%)明顯優于對照組妊娠結跼(妊娠期高血壓疾病11例,佔31.43%;胎兒窘迫5例,佔14.29%;羊水過多8例,佔22.86%;產後齣血7例,佔20.00%),兩組比較差異有統計學意義(P<0.05);新生兒併髮癥(早產2例,佔5.71%;巨大兒3例,佔8.57%;窒息2例,佔5.71%;低血糖2例,佔5.71%)的髮生率也要明顯低于對照組(早產7例,佔20.00%;巨大兒8例,佔22.86%;窒息6例,佔17.14%;低血糖7例,佔20.00%),兩組比較差異有統計學意義(P<0.05). 結論 對妊娠期糖尿病患者實施早期篩查併進行及時榦預,對于改善GDM孕婦的妊娠結跼具有明顯作用,有助于改善妊娠結跼,降低圍產期母嬰併髮癥髮生率,可保障母嬰安全.
목적 탐토대임신기당뇨병(Gestational Diabetes Mellitus,GDM)환자진행조기사사병채취간예조시대모영위산기소대래적영향. 방법 선취2014년1월—2015년6월기간전래해원취진적잉부70례작위연구대상. 기중관찰조35례잉부재잉조기즉접수계통성검사,피학진위GDM후급시채취간예조시진행치료,장령외35례잉부설치위대조조,균위접수임하계통성적산전검사,직지잉만기재피학진위GDM,미급여임하치료. 비교량조산부적임신결국. 결과 관찰조잉부임신결국(임신기고혈압질병 4례,점11.43%;태인군박1례,점 2.86%;양수과다4례,점11.43%;산후출혈2례,점5.71%)명현우우대조조임신결국(임신기고혈압질병11례,점31.43%;태인군박5례,점14.29%;양수과다8례,점22.86%;산후출혈7례,점20.00%),량조비교차이유통계학의의(P<0.05);신생인병발증(조산2례,점5.71%;거대인3례,점8.57%;질식2례,점5.71%;저혈당2례,점5.71%)적발생솔야요명현저우대조조(조산7례,점20.00%;거대인8례,점22.86%;질식6례,점17.14%;저혈당7례,점20.00%),량조비교차이유통계학의의(P<0.05). 결론 대임신기당뇨병환자실시조기사사병진행급시간예,대우개선GDM잉부적임신결국구유명현작용,유조우개선임신결국,강저위산기모영병발증발생솔,가보장모영안전.
Objective This paper investigates the impact of early intervention of gestational diabetes mellitus (GDM) on pregnancy outcomes. Methods 70 pregnant women who came to our hospital during January 2014 -2015 in June were se-lected as the research object. In the observation group, 35 cases of pregnant women in the early pregnancy that is receiving systemic examination, the diagnosis of GDM after taking intervention measures for treatment, 35 cases of pregnant women were set as the control group, all of them received any systematic prenatal examination, until the late pregnancy was diag-nosed as GDM, did not give any treatment. The pregnancy outcome of two groups was compared. Results The pregnant out-come of the observation group was significantly better than the control group, the difference was statistically significant (P<0.05);the incidence of neonatal complications was significantly lower than that of the control group, the difference was statis-tically significant (P<0.05) in the two groups. Conclusion Early screening and timely intervention in patients with gestation-al diabetes mellitus, for improving the pregnancy outcome of GDM pregnant women has a significant role to improve the pregnancy outcome and reduce the incidence of maternal and infant complications, which can protect the safety of mother and baby.
