CAJ | 학술논문

目的：采用新妊娠期糖尿病诊断标准一步法及孕期管理，加强母儿监护后，分析妊娠期糖尿病的妊娠结局。方法回顾性分析2013年10月～2014年9月在上海交通大学医学院附属瑞金医院妇产科分娩的120例妊娠期糖尿病孕妇（Ⅰ组）与同期120例健康孕妇（Ⅱ组）的妊娠结局。结果采用妊娠期糖尿病新诊断标准后，分娩人群中妊娠期糖尿病孕妇占9.14％，经过孕期健康管理，应用胰岛素的孕妇占妊娠期糖尿病孕妇的8.33％。Ⅰ、Ⅱ两组羊水过多、产后出血、新生儿窒息、巨大儿、早产、新生儿肺炎差异无统计学意义（P＞0.05）；胎膜早破差异有统计学意义（P＜0.05）。结论妊娠期糖尿病采用新的诊断标准，结合孕期管理，母儿并发症得到有效的控制。
목적：채용신임신기당뇨병진단표준일보법급잉기관리，가강모인감호후，분석임신기당뇨병적임신결국。방법회고성분석2013년10월～2014년9월재상해교통대학의학원부속서금의원부산과분면적120례임신기당뇨병잉부（Ⅰ조）여동기120례건강잉부（Ⅱ조）적임신결국。결과채용임신기당뇨병신진단표준후，분면인군중임신기당뇨병잉부점9.14％，경과잉기건강관리，응용이도소적잉부점임신기당뇨병잉부적8.33％。Ⅰ、Ⅱ량조양수과다、산후출혈、신생인질식、거대인、조산、신생인폐염차이무통계학의의（P＞0.05）；태막조파차이유통계학의의（P＜0.05）。결론임신기당뇨병채용신적진단표준，결합잉기관리，모인병발증득도유효적공제。
ObjectiveTo analyze the gestational perinatal outcome of gestational diabetes mellitus using the new diagnostic criteria and administrant gestational, and strengthen the work of maternal and infant care.Methods120 GDM pregnant women(study groupⅠ)and 120 pregnant women(control groupⅡ)who delivered in Ruijin Hospital during October 2013 and September 2014 were enrolled into this study. The gestational outcomes.ResultsThe percentage of GDM patients was 9.14% by the new GDM diagnostic criteria. After the clinic health care, the percentage of insulin use was 8.33%in GDM pregnant women, There were no significant differences of incidence of Polyhydramnios, postpartum hemorrhage, neonatal asphyxia, fetal macrosomia, preterm labor, neonatal pneumonia between the study group and the control group(P>0.05).While there were significant differences of incidence of premature rupture of membrane between the two groups (P<0.05).ConclusionThe gestational complications can be controlled appropriately when using the new diagnostic criteria for gestational diabetes mellitus, combined with administrant gestational .