| 王芳,何红,王鑫蕾,等.同一年龄层次不同产次对孕妇妊娠糖尿病发生、妊娠结局及产后糖耐量转归的影响[J].安徽医药,2020,24(2):263-266. |
| 同一年龄层次不同产次对孕妇妊娠糖尿病发生、妊娠结局及产后糖耐量转归的影响 |
| Investigation on the incidence and outcome of GDM in primiparas and parturients |
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| DOI：10.3969/j.issn.1009?6469.2020.02.013 |
| 中文关键词: 糖尿病，妊娠 患病率 初产妇 经产妇 妊娠结局 产后糖耐量转归 |
| 英文关键词: Diabetes,gestational Prevalence Primipara Multipara Pregnancyoutcome Postpartumglucosetoleranceoutcome |
| 基金项目:江苏省自然科学基金项目( BK2012651)；江苏省卫生计生委科研项目( Y2015070)；南通大学附属医院院级基金项目( Tfh1705) |
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| 中文摘要: |
| 目的比较同一年龄层次不同产次的孕妇妊娠糖尿病( GDM)的发生率，分析产次对 GDM的发生、妊娠结局及产后糖耐量转归的影响。方法选取 2017年 7月至 2018年 7月在南通大学附属医院产检及分娩的孕妇 146例，其中 73例经产妇作为对照组， 73例初产妇作为观察组。对比两组 GDM发生率、妊娠结局及产后糖耐量转归，分析 GDM发生的危险因素。结果观察组 GDM发生率为 13.70%低于对照组的 23.29%，差异有统计学意义( P＜0.05)；观察组总不良妊娠结局发生率为 21.92%，低于对照组的 42.47%，差异有统计学意义( P＜0.05)；观察组产后 6周、 12周空腹血糖及餐后 1h、2h血糖为( 4.31±0.75)、(5.28± 0.85)、(6.49±0.87)、(4.16±0.67)、(5.39±0.81)、(6.51±0.83)mmol/L，均低于对照组，差异有统计学意义( P＜0.05)。结论经产妇 GDM发生率、妊娠结局及产后糖耐量转归情况较初产妇差，需加强经产妇的孕期管理。 |
| 英文摘要: |
| Objective To compare the incidence of gestational diabetes mellitus(GDM)among pregnant women of the same age and different parities，and to analyze the effect of parity on the occurrence of GDM，pregnancy outcome and the prognosis of postpar? tum glucose tolerance，so as to provide evidence for better prevention and treatment of GDM and improvement of maternal and infant health.Methods From July 2017 to July 2018 in our obstetric outpatient obstetric examination and delivery of pregnant women inour hospital as the study object，73 of them as the control group，73 primipara as the observation group.The incidence of GDM，the outcome of pregnancy and the outcome of postpartum glucose tolerance were compared between the two groups，and the risk factors for GDM were analyzed.Results The incidence of GDM in the observation group was 13.70% lower than 23.29% in the control group，and the difference was statistically significant(P＜0.05).The incidence of total adverse pregnancy outcome was 21.92% in the observation group，which was lower than that in the control group(42.47%).The significance of learning(P＜0.05)； the fasting blood glucose at 6 weeks and 12 weeks after delivery and the blood glucose at 1 h and 2 h after meal were(4.31±0.75)，(5.28± 0.85)(6.49±0.87)，(4.16±0.67)，(5.39±0.81)and(6.51±0.83)mmol/L were lower than the control group，and the difference was statistica，lly significant(P＜0.05).Conclusion Compared with primiparas，the incidence of GDM，maternal outcome and postpartum glucose tolerance were lower in women than in primipara，and it is necessary to strengthen the management of maternal pregnancy. |
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