CAJ | 학술논문

目的：探讨妊娠期糖尿病新旧诊断标准对妊娠结局的影响。方法收集2013年5月至2015年5月我院收治的孕妇共1502例作为研究对象，有630例孕妇采用旧诊断标准即《妇产科学》妊娠期糖尿病诊断标准，共有45例GDM患者为旧标准GDM组；共有872例孕妇采用新诊断标准即IADPSG标准，共有149例GDM患者作为新标准GDM组。比较两组临床资料、围生儿结局、孕妇妊娠结局。结果①旧标准诊断GDM发生率为7.15%。新诊断标准GDM发生率为17.09%，新诊断标准GDM发生率明显高于旧诊断标准，两组差异有统计学意义（P＜0.05）。②旧标准GDM组BMI与新标准比较明显较高，两组差异有统计学意义（P＜0.05）。③新标准GDM组巨大儿发生率与旧标准GDM组比较明显较低，两组差异有统计学意义（P＜0.05）。④新标准GDM组子痫前期、早产发生率与旧标准GDM组比较明显较低，两组差异有统计学意义（P＜0.05）。结论采用新诊断标准GDM发生率较高、巨大儿发生率及子痫前期、早产发生率相对较低，对GDM患者的早期干预及改善妊娠结局均具有重要的临床意义。
목적：탐토임신기당뇨병신구진단표준대임신결국적영향。방법수집2013년5월지2015년5월아원수치적잉부공1502례작위연구대상，유630례잉부채용구진단표준즉《부산과학》임신기당뇨병진단표준，공유45례GDM환자위구표준GDM조；공유872례잉부채용신진단표준즉IADPSG표준，공유149례GDM환자작위신표준GDM조。비교량조림상자료、위생인결국、잉부임신결국。결과①구표준진단GDM발생솔위7.15%。신진단표준GDM발생솔위17.09%，신진단표준GDM발생솔명현고우구진단표준，량조차이유통계학의의（P＜0.05）。②구표준GDM조BMI여신표준비교명현교고，량조차이유통계학의의（P＜0.05）。③신표준GDM조거대인발생솔여구표준GDM조비교명현교저，량조차이유통계학의의（P＜0.05）。④신표준GDM조자간전기、조산발생솔여구표준GDM조비교명현교저，량조차이유통계학의의（P＜0.05）。결론채용신진단표준GDM발생솔교고、거대인발생솔급자간전기、조산발생솔상대교저，대GDM환자적조기간예급개선임신결국균구유중요적림상의의。
Objective To investigate the influence of gestational diabetes of old and new diagnostic criteria on pregnancy outcome.Methods 1502 cases of pregnant women in this study were selected from May 2013 to May 2015 in our hospital, 630 cases of pregnant women used the old criteria, which was“Obstetrics and Gynecology” gestational diabetes diagnostic criteria, there were 45 cases of GDM patients and considered them as the old standard GDM group; there were 872 cases of pregnant women used new diagnostic criteria that was IADPSG standard, there were 149 cases of patients with GDM and considered them as the new standard GDM group. The clinical data, perinatal outcome, maternal outcome of pregnancy of two groups were compared. Results①He old standard diagnosis of GDM was 7.15%. New diagnostic criteria of GDM incidence was 17.09%, the new diagnostic criteria of GDM were significantly higher than the old criteria, the difference was statistically significant (P<0.05).②BMI of the old standard GDM group was significantly higher than the new standard GDM group, the difference was statistically significant (P<0.05).③The huge incidence of children of the new standard GDM group was significantly lower than the old standard GDM group, the difference was statistically significant (P<0.05).④The preeclampsia, preterm birth rate of the new standard GDM group was significantly lower than the old standard GDM group, the difference was statistically significant (P<0.05).Conclusion The new diagnostic criteria for GDM higher incidence, prevalence and huge children preeclampsia, preterm birth rate is relatively low, early intervention and improve pregnancy outcomes of GDM patients have important clinical significance.