摘要
目的探讨孕期增重对妊娠期糖尿病(GDM)分娩结局的影响。方法选择2016年1月-2018年12月在我院进行产检和分娩的GDM孕妇1 190例,回顾性收集孕期体重增长、分娩结局信息,根据GDM孕妇孕期增重百分位数(P75th)分为3组进行分娩结局比较。结果 1 190例GDM孕妇孕期增重5.0~29.0 kg[均值(13.4±4.2)kg];孕期增重P75th组,孕期增重>P75th组巨大儿发生比例显著高于其他组,差异具有统计学意义(P<0.05);进一步通过孕早期BMI划分不同亚组比较妊娠结局,结果类似。结论 GDM孕妇孕期增重异常与不良分娩结局相关,GDM孕期体重增加的合理范围尚需进一步研究。
Objective To examine the effects of gestational weight gain in women with gestational diabetes mellitus(GDM)on birth outcome.Methods From Jan 2016 and Dec 2018,1190 pregnancy women with GDM who received prenatal visit and gave birth in Clifford Hospital were recruited. Information on gestational weight gain and birth outcomes was collected. According to the GDM pregnant women’s weight gain percentage during pregnancy(P75 th),three groups were divided for comparative analysis of birth outcomes. Results The gestational weight gain of GDM pregnant women ranged from 5 to 29 kg(mean 13.4±4.2 kg). The ratios of cesarean section,preterm birth,and low birth weight in gestational weight gain P75 th group. The ratio of macrosomia in gestational weight gain >P75 th group was was significantly higher than other groups. For the subgroups analysis according to the BMI in early pregnancy,the results were similar. Conclusions GDM pregnant women with abnormal weight gain during pregnancy are associated with adverse birth outcomes,and the reasonable range of GDM weight gain during pregnancy needs further study.
作者
蔡文竹
隋珍
Cai Wenzhu;Sui Zhen(The Guangdong Clifford Hospital,Guangzhou,Guangdong 511495)
出处
《基层医学论坛》
2020年第13期1784-1786,共3页
The Medical Forum
关键词
妊娠期糖尿病
孕期增重
分娩结局
影响
Gestational weight gain
Gestational diabetes mellitus
Birth outcome
Influence
