糖尿病妇女与健康妇女妊娠结局的比较

M. Jafari, Hadis Fattahi, Leila Sheikhy, Sodabeh Eskandari, M. Mirzaei-Alavijeh
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摘要

背景:妊娠期糖尿病是妊娠期最常见的代谢紊乱。因此,必须认识到其结果和并发症。目的:本研究旨在比较糖尿病妇女和健康妇女的妊娠结局。方法:本病例对照研究于2019年在伊朗克尔曼沙阿Moatazedi医院将380名糖尿病和健康女性分为两组,每组190人。参与者采用方便抽样的方式进行选择。数据收集使用研究者根据参与者的家庭记录设计的检查表。数据分析采用SPSS version 22,采用卡方检验、Fisher精确检验和Mann-Whitney U检验。结果:糖尿病孕妇与健康孕妇的胎龄、母体体重指数、出生体重、婴儿身高、分娩方式(P < 0.01)、子痫前期(P = 0.01)、糖尿病家族史(P = 0.03)均有显著相关。然而,5分钟和10分钟Apgar评分、产妇疾病和孕期产妇护理之间没有显著的相关性。结论:妊娠期糖尿病与并发症发生率升高有关,必须通过预防和疾病控制来降低并发症发生率,促进孕产妇和新生儿健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Pregnancy Outcomes in Diabetic and Healthy Women
Background: Gestational diabetes is the most prevalent metabolic disorder during pregnancy. Therefore, it is essential to recognize its outcomes and complications. Objectives: The present study aimed to compare pregnancy outcomes in diabetic and healthy women. Methods: This case-control study was conducted on 380 diabetic and healthy women, who were divided into two groups of 190, at Moatazedi Hospital in Kermanshah, Iran in 2019. The participants were selected via convenience sampling. Data were collected using a researcher-made checklist designed based on the family records of the participants. Data analysis was performed in SPSS version 22 using chi-square, Fisher’s exact test, and the Mann-Whitney U test. Results: A significant correlation was observed between gestational age, maternal body mass index, birth weight, infant’s height, mode of delivery (P < 0.01), preeclampsia (P = 0.01), and the family history of diabetes (P = 0.03) in the diabetic and healthy pregnant women. However, no significant correlation was denoted between the five- and 10-minute Apgar scores, maternal disorders, and maternal care during pregnancy. Conclusions: According to the results, gestational diabetes is associated with an increase rate of complications, which must be diminished through prevention and disease control to promote maternal and neonatal health.
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