标题：孕前体质量对妊娠期糖尿病患者妊娠结局的影响

      作者：李晓红，彭艳，张靖域，丁桂凤
    (乌鲁木齐市妇幼保健院产三科，新疆 乌鲁木齐 830000)

      卷次： 2016年27卷19期

      【摘要】 目的 探讨孕前体质量对妊娠期糖尿病患者妊娠结局的影响。方法 选取2013年1月至2015年6
在我院进行系统产前检查并住院分娩的妊娠期糖尿病产妇180例，根据妊娠前体质量的不同，将其分为三组，其中
体质量指数(BMI)为18.5~23者为正常组(50例)，23~25者为超重组(82例)，25以上者为肥胖组(48例)，比较并分析三
组产妇的妊娠结局。结果 正常组孕妇剖宫产率和产钳助产率分别为30.00% (15/50)、2.00% (1/50)，其剖宫产率较
超重组的45.12% (37/82)和肥胖组的56.25% (27/48)明显降低，产钳助产率也低于肥胖组的12.50% (6/48)，差异均有
统计学意义(P<0.05)，但与超重组的6.10% (5/82)相当，差异有统计学意义(P>0.05)；正常组和超重组子痫前期发病
率分别为10.00% (5/50)、9.76% (8/82)，均较肥胖组的20.83% (10/48)明显降低，差异均有统计学意义(P<0.05)；超重
组产妇的早产、巨大儿、胎儿窘迫发生率分别为 13.41% (11/82)、10.98% (9/82)、23.17% (19/82)，肥胖组为 31.25%
(15/48)、18.75% (9/48)、22.92% (11/48)，正常组为8.00% (4/50)、6.00% (3/50)、8.00% (4/50)，组间差异比较均有统计学
意义(P<0.05)；正常组产妇胎膜早破、羊水过多发生率为 12.00% (6/50)、10.00% (5/50)，超重组为 13.41% (11/82)、
12.20% (10/82)，肥胖组为14.58% (7/48)、16.67% (8/48)，组间比较差异均无统计学意义(P>0.05)。结论 孕前超重和肥
胖均会增加妊娠期糖尿病患者发生不良妊娠结局的危险性。孕前将体质量控制在合理范围内可减少不良妊娠结局。

      【关键词】 妊娠结局；孕前体质量；妊娠期糖尿病；体质量指数

      【中图分类号】 R714.256 【文献标识码】 A 【文章编号】 1003—6350（2016）19—3179—03


Effect of pre-pregnancy body mass on pregnancy outcomes in patients with gestational diabetes mellitus.
LI
Xiao-hong, PENG Yan, ZHANG Jing-yu, DING Gui-feng. The Third Department of Obstetrics and Gynaecology, Urumqi
Hospital for Maternal and Child Health Care, Urumqi 830000, Xinjiang, CHINA

【Abstract】 Objective To investigate the effect of pre-pregnancy body mass on pregnancy outcomes in patients
with gestational diabetes mellitus (GDM). Methods A total of 180 cases of puerperants with GDM who received sys-
tematic prenatal examination and hospital delivery in our hospital from January 2013 to June 2015 were selected. Accord-
ing to the difference of pre-pregnancy body mass, the puerperants were divided into three groups: normal group with
body mass index (BMI) of 18.5~23 (n=50), overweight group with BMI of 23~25 (n=82), obese group with BMI more
than 25 (n=48). The pregnancy outcome of three groups were compared and analyzed. Results The rate of cesarean sec-
tion in normal group was 30.00% (15/50), which was significantly decreased compared with that in overweight group of
·论 著·doi:10.3969/j.issn.1003-6350.2016.19.028
通讯作者：丁桂凤。E-mail：83469642@qq.com