临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
17期
1463-1465
,共3页
孕妇%孕前体质量指数%妊娠不良结局%肥胖
孕婦%孕前體質量指數%妊娠不良結跼%肥胖
잉부%잉전체질량지수%임신불량결국%비반
Nulliparous pregnancy%Pre - pregnancy body mass index%Adverse outcome of pregnancy%Obese
目的：探讨孕前体质量指数（BMI）与妊娠不良结局相关性。方法收集4614例分娩的孕妇临床资料，根据孕前 BMI 不同将其分为低体质量组、正常体质量组、超重组和肥胖组，比较各组的子痫前期、妊娠期糖尿病、剖宫产、新生儿死亡、妊娠高血压、巨大胎儿、胎膜早破、耐糖量异常、产后出血等妊娠不良结局的发病率。结果低体质量组占13.5%，正常体质量组占70.5%，超重组占13.4%和肥胖组占2.6%。随着孕前 BMI 的增大，妊娠期的不良结局的风险也越来越大。除新生儿死亡以外，在其他妊娠不良结局中超重组和肥胖组的发病率要明显要高于正常体质量组，差异具有统计学意义（ P ﹤0.05）。低体质量组的产后出血、耐糖量异常、新生儿死亡、剖宫产、妊娠期糖尿病的发病率与正常体质量组相比无明显的差异（ P ﹥0.05），而子痫前期、妊娠高血压、巨大胎儿、胎膜早破的发生率明显低于正常体质量组，差异具有统计学意义（ P ﹤0.05）。结论孕妇的孕前 BMI 对妊娠不良结局有较大的影响，加强对孕妇的孕前 BMI 控制，可以减少母婴并发症。
目的：探討孕前體質量指數（BMI）與妊娠不良結跼相關性。方法收集4614例分娩的孕婦臨床資料，根據孕前 BMI 不同將其分為低體質量組、正常體質量組、超重組和肥胖組，比較各組的子癇前期、妊娠期糖尿病、剖宮產、新生兒死亡、妊娠高血壓、巨大胎兒、胎膜早破、耐糖量異常、產後齣血等妊娠不良結跼的髮病率。結果低體質量組佔13.5%，正常體質量組佔70.5%，超重組佔13.4%和肥胖組佔2.6%。隨著孕前 BMI 的增大，妊娠期的不良結跼的風險也越來越大。除新生兒死亡以外，在其他妊娠不良結跼中超重組和肥胖組的髮病率要明顯要高于正常體質量組，差異具有統計學意義（ P ﹤0.05）。低體質量組的產後齣血、耐糖量異常、新生兒死亡、剖宮產、妊娠期糖尿病的髮病率與正常體質量組相比無明顯的差異（ P ﹥0.05），而子癇前期、妊娠高血壓、巨大胎兒、胎膜早破的髮生率明顯低于正常體質量組，差異具有統計學意義（ P ﹤0.05）。結論孕婦的孕前 BMI 對妊娠不良結跼有較大的影響，加彊對孕婦的孕前 BMI 控製，可以減少母嬰併髮癥。
목적：탐토잉전체질량지수（BMI）여임신불량결국상관성。방법수집4614례분면적잉부림상자료，근거잉전 BMI 불동장기분위저체질량조、정상체질량조、초중조화비반조，비교각조적자간전기、임신기당뇨병、부궁산、신생인사망、임신고혈압、거대태인、태막조파、내당량이상、산후출혈등임신불량결국적발병솔。결과저체질량조점13.5%，정상체질량조점70.5%，초중조점13.4%화비반조점2.6%。수착잉전 BMI 적증대，임신기적불량결국적풍험야월래월대。제신생인사망이외，재기타임신불량결국중초중조화비반조적발병솔요명현요고우정상체질량조，차이구유통계학의의（ P ﹤0.05）。저체질량조적산후출혈、내당량이상、신생인사망、부궁산、임신기당뇨병적발병솔여정상체질량조상비무명현적차이（ P ﹥0.05），이자간전기、임신고혈압、거대태인、태막조파적발생솔명현저우정상체질량조，차이구유통계학의의（ P ﹤0.05）。결론잉부적잉전 BMI 대임신불량결국유교대적영향，가강대잉부적잉전 BMI 공제，가이감소모영병발증。
Objective To explore the significance of pre - pregnancy body mass index(BMI)in adverse outcome of pregnancy. Methods A total of 4 614 nulliparous. women selected on population - based cohort were categorized into 4 groups,pre - eclampsia,emergency caesare-an,gestational diabetes,postpartum haemorrhage,and other adverse pregnancy outcomes were compared among them by univariate and multivari-ate analyses. Results They were classified by pre - pregnancy BMI,625 women as underweight(13. 5% ),3 253 as normal(70. 5% ),617 as overweight(13. 4% ),and 119 as obese(2. 6% ). The risk of adverse pregnancy outcome had been increased with the increase of pre - pregnancy BMI( P ﹤ 0. 05). The risks for gestational hypertension,pre - eclampsia,gestational diabetes,and preterm premature rupture of membranes were higher for those with overweight or obese before pregnancy( P ﹤ 0. 05). There was no significant difference existed between underweight and normal body weight in the occurrence of postpartum hemorrhage,gestational impaired glucose tolerance,cesarean delivery,gestational diabetes mellitus and mortality of infants. There was significant difference between underweight and normal weight in pre - eclampsia,preterm premature rupture of membranes,hypertension and macrosomia. Conclusion High pre - pregnancy body mass index is associated with increased risk of ad-verse outcome of pregnancy,hence pre - pregnancy body mass index should be properly managed.
