基层医学论坛
基層醫學論罈
기층의학론단
The Medical Forum
2015年
32期
4466-4467,4468
,共3页
高龄孕妇%妊娠期糖尿病%母婴结局%影响
高齡孕婦%妊娠期糖尿病%母嬰結跼%影響
고령잉부%임신기당뇨병%모영결국%영향
Elder pregantwoman%Gestational diabetes mellitus%Mother and infant outcome%Influence
目的：探讨高龄孕妇合并妊娠期糖尿病对母婴结局的影响。方法2013年1月—2014年6月选取我所建卡的51例患妊娠期糖尿病的高龄孕妇作为高龄组，并将同期在我所建卡的621例患妊娠期糖尿病的非高龄孕妇作为非高龄组，回顾分析2组孕妇的母婴结局，进行统计分析。结果高龄组的羊水过多、妊娠期高血压、胎儿宫内发育迟缓、胎儿窘迫的发生率明显高于非高龄组（P<0.05），而高龄组的感染、巨大儿、新生儿低血糖的发生率与非高龄组比较无明显差异（P>0.05）。结论高龄孕妇合并妊娠期糖尿病对母婴的危害较大，应及时筛查出妊娠期糖尿病，并积极做好围生期保健指导，以减少对母婴的不良影响。
目的：探討高齡孕婦閤併妊娠期糖尿病對母嬰結跼的影響。方法2013年1月—2014年6月選取我所建卡的51例患妊娠期糖尿病的高齡孕婦作為高齡組，併將同期在我所建卡的621例患妊娠期糖尿病的非高齡孕婦作為非高齡組，迴顧分析2組孕婦的母嬰結跼，進行統計分析。結果高齡組的羊水過多、妊娠期高血壓、胎兒宮內髮育遲緩、胎兒窘迫的髮生率明顯高于非高齡組（P<0.05），而高齡組的感染、巨大兒、新生兒低血糖的髮生率與非高齡組比較無明顯差異（P>0.05）。結論高齡孕婦閤併妊娠期糖尿病對母嬰的危害較大，應及時篩查齣妊娠期糖尿病，併積極做好圍生期保健指導，以減少對母嬰的不良影響。
목적：탐토고령잉부합병임신기당뇨병대모영결국적영향。방법2013년1월—2014년6월선취아소건잡적51례환임신기당뇨병적고령잉부작위고령조，병장동기재아소건잡적621례환임신기당뇨병적비고령잉부작위비고령조，회고분석2조잉부적모영결국，진행통계분석。결과고령조적양수과다、임신기고혈압、태인궁내발육지완、태인군박적발생솔명현고우비고령조（P<0.05），이고령조적감염、거대인、신생인저혈당적발생솔여비고령조비교무명현차이（P>0.05）。결론고령잉부합병임신기당뇨병대모영적위해교대，응급시사사출임신기당뇨병，병적겁주호위생기보건지도，이감소대모영적불량영향。
Objective To investigate the effect of the elder pregnant women with gestational diabetes mellitus on pregnancy outcomes.Methods 51 cases with the elder pregnant women of gestational diabetes mellitus in the hospital from January 2013 to June 2014 were selected as experimental group and 621 cases with the younger pregnant women of gestational diabetes mellitus were selected as control group,The pregnancy complications and perinatal and analyzed statistically.Results The percentage of the elder pregnant women with gestational diabetes mellitus was 32.69%,the percentage of the younger pregnant women with gestational diabetes mellitus was 18.55%,which were significant differences of incidence(P<0.05).In the elder group the rate of hydramnios, prency_induced hypertension syndrome, fetal growth restriction and fetal distress were higher than younger group (P<0.05).But there were no significant differences of incidenceof the rate of infect,macrosomia and neonatal hypoglycemia between the two groups(P>0.05).Conclusions The older pregnant women with gestational diabetes mellitus do harm to pregnants and infants, timely screen gestational diabetes mellitus, do good perinatal care guide actively, reduce maternal and neonatal complications.
