首页 > 期刊检索 > 详细
      标题:孕前体质指数及孕期体质量增加对妊娠期糖尿病孕妇分娩方式及妊娠结局的影响
      作者:黄丽娇,梁梅珍    (中山市黄圃人民医院产科,广东 中山 528429)
      卷次: 2018年29卷1期
      【摘要】 目的 研究不同孕前体质指数(BMI)及孕期体质量变化对妊娠期糖尿病孕妇分娩方式及妊娠结局的影响。方法 选择2013年1月至2016年1月就诊于中山市黄圃人民医院的妊娠期糖尿病孕妇344例为研究对象,根据孕前BMI水平将344例孕妇分为低BMI组(BMI<18.5 kg/m2,55例)、正常组(BMI 18.5~24 kg/m2,225例)和超重组(BMI≥24 kg/m2,64例);按孕期体质量增加幅度,分为增重不足组(31例)、增重正常组(128例)和增重过多组(185例)。比较各组分娩方式、妊娠结局等。结果 超重组及增加过多组妊娠并发子痫前期(53.13%、29.73%)、羊水过多(57.81%、31.89%)、胎膜早破(39.06%、38.38%)、早产(70.31%、34.05%)、胎儿宫内窘迫(32.81% 、16.22%)、巨大儿(56.25%、26.49%)及新生儿低血糖(65.63%、37.30%)发生率显著增加,剖宫产(79.69%、47.57%)率最高,分别与其对应两组比较差异均有统计学意义(P<0.05);低BMI组比BMI正常组子痫前期(47.27% vs 6.22%)、羊水过多(45.45%vs 6.67%)、胎膜早破(83.64% vs 8.44%)、早产(40.00% vs 5.33%)发生率显著增加,差异均有统计学意义(P<0.05);低BMI组及增重不足组的低体质量儿(12.73% vs 25.81%)出生率最高,孕前BMI正常及增重正常组妊娠期各项并发症发生率最小、剖宫产率(16.89%、5.47%)最低,新生儿结局最好(均P<0.05)。结论 孕前超重及孕期体质量增加过多可增加GDM孕妇发生不良妊娠结局及剖宫产率的危险性,尤其是超重者应纳入GDM高危妊娠管理,严格控制孕期体质量增加总增幅在合适范围内,以减低剖宫产率、减少不良妊娠结局的发生。
      【关键词】 妊娠期糖尿病;体质量指数;孕前;孕期;体质量增加;分娩方式;妊娠结局
      【中图分类号】 R714.256 【文献标识码】 A 【文章编号】 1003—6350(2018)01—0061—04
Influence of pre-pregnant body mass index and gestational weight gain of women with gestational diabetesmellitus on delivery methods and pregnancy outcomes. HUANG Li-jiao, LIANG Mei Zhen. Department of Obstetrics,Zhongshan Huangpu People's Hospital, Zhongshan 528429, Guangdong, CHINA
      【Abstract】 Objective To investigate the influence of pre-pregnant body mass index (BMI) and gestationalweight gain of women with gestational diabetes mellitus (GDM) on delivery methods and maternal and neonatal out-comes.Methods A total of 344 women with GDM, who admitted to Zhongshan Huangpu People's Hospital from Jan-uary 2013 to January 2016, were selected and divided into the low BMI group (BMI<18.5 kg/m2, n=55), the normal BMIgroup (18.5 kg/m2≤BMI<24 kg/m2, n=225), and the overweight group (BMI≥24 kg/m2, n=64) according to the BMI be-fore pregnancy. These women also were divided into the insufficient weight gain group (n=31), the normal weight gaingroup (n=128) and the excessive weight gain group (n=185) according to pregnancy weight gain standard of Chinese.The delivery methods and pregnancy outcomes were compared between each two groups. Results The rate of pre-ec-lampsia, polyhydramnios, premature rupture of membranes, preterm birth, fetal distress, fetal amacrosomia, neonatal hy-·论 著·doi:10.3969/j.issn.1003-6350.2018.01.019
      基金项目:广东省中山市科技计划项目(编号:2015B1271)

       下载PDF