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[胎盘成熟障碍与胰岛素依赖型糖尿病和妊娠期糖尿病患者孕期代谢控制质量的关系]

[Placental maturation disorders in relation to the quality of metabolic control during pregnancy in insulin-dependent and gestational diabetes].

作者信息

Semmler K, Emmrich P, Fuhrmann K, Gödel E

出版信息

Zentralbl Gynakol. 1982;104(23):1494-502.

PMID:7164653
Abstract

In 1969/70 and 1979/80, 100 placentas each of diabetics were morphologically examined. The findings obtained were evaluated against the background of metabolic monitoring and typical phenomena of perinatal morbidity. The studies were conducted for the purpose of finding out the extent to which maintenance of normal glycaemic metabolism throughout pregnancy could affect the severity of diabetic disorders of placental maturation. Medium to severe placental maturation disorders were found to be closely correlated with quality of metabolic control (P less than 0.01). The findings thus obtained have produced evidence to the effect that maintenance of normal glycaemic metabolism throughout pregnancy would be of favourable impact not only upon perinatal mortality and morbidity. It would also cause significant reduction of placental maturation disorders.

摘要

1969/70年和1979/80年,分别对100例糖尿病患者的胎盘进行了形态学检查。根据代谢监测结果和围产期发病的典型现象对所获结果进行了评估。开展这些研究的目的是为了弄清楚整个孕期维持正常血糖代谢在多大程度上会影响胎盘成熟的糖尿病紊乱的严重程度。发现中度至重度胎盘成熟紊乱与代谢控制质量密切相关(P<0.01)。由此获得的结果证明,整个孕期维持正常血糖代谢不仅会对围产期死亡率和发病率产生有利影响,还会显著减少胎盘成熟紊乱。

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