摘要
目的探讨妊娠期糖尿病(GDM)患者发生巨大儿的相关因素。方法回顾性134例GDM孕妇的临床资料,根据新生儿体重分为正常组(n=101)与巨大儿组(n=33),对孕妇的一般情况及GDM治疗情况进行调查分析,并在两组之间进行对比。结果两组产妇在孕前体重、BMI、产次、巨大儿生产史、GDM是否治疗、治疗方案及血糖控制程度等方面具有统计学差异(P<0.05或P<0.01),而在孕产妇年龄、孕期体重增长量、不良孕产史、糖尿病家族史、新生儿性别、GDM治疗开始时间等方面比较无显著差异(P>0.05)。结论 GDM产妇巨大儿的产生与多种因素有关,针对上述相关因素进行提前干预,尤其是严格的产前检查及确诊GDM后的积极正规治疗,对于降低巨大儿发生率具有重要意义。
Objective： To investigate the related factors for the macrosomia in patients with gestational diabetes（GDM）.Methods： The clinical data of 134 patients with GDM were retrospectively reviewed;all the patients were divided into the normal group（n=101）and the group of macrosomia（n=33）,according to their neonatal infants＇ weigh,the general situation of pregnant women and their GDM treatments were investigated and analyzed,and the comparison between the two groups was made.Results： The analysis showed there were statistics differences between the two groups in weight before pregnancy,BMI,parity,macrosomia history,whether treatment,therapeutic scheme for GDM and the control degree of blood glucose,（P0.05 or P0.01）,while there is no significant difference in maternal age,weight gain during pregnancy,abnormal pregnancy history,DM family history,neonatal infant′s sex,and the start time of the treatment for GDM.Conclusions： Macrosomia in pregnant women with GDM related with many factors,in view of the above factors,the early intervention is necessary,especially the strict antenatal examination and the active,normal treatment of GDM after it has been diagnosed.These ways have the important meaning for reducing the incidence of macrosomia.
出处
《中国优生与遗传杂志》
2012年第12期82-83,共2页
Chinese Journal of Birth Health & Heredity
关键词
妊娠
糖尿病
巨大儿
相关因素
Pregnancy
Diabetes
Macrosomia
Related factors
