中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2014年
7期
66-68
,共3页
妊娠期糖尿病%体质量指数%分娩方式%新生儿体重
妊娠期糖尿病%體質量指數%分娩方式%新生兒體重
임신기당뇨병%체질량지수%분면방식%신생인체중
gestational diabetes mellitus%body mass index%mode of delivery%neonatal weight
目的：探讨妊娠期糖尿病（ gestational diabetes mellitus，GDM ）孕妇孕前体质量指数（ body mass index，BMI）对分娩方式和新生儿体质量的影响，为孕妇体质量管理提供参考依据。方法选取2011年7月至2013年12月在南京市妇幼保健院进行产前检查、分娩的GDM 孕妇215例，根据孕妇孕前BMI不同，分为过低组、正常组、超重和肥胖组，分析GDM孕妇孕前不同BMI对分娩方式和新生儿体质量的影响。结果超重和肥胖组剖宫产率为82.76%、巨大儿为17.24%，高于正常组和过低组（ P <0.05）；超重和肥胖组低体重儿发生率与正常组和过低组比较，差异无统计学意义（P >0.05）。结论孕前孕妇BMI 对GDM 孕妇围产结局有一定的影响，GDM 孕妇孕前超重和肥胖者剖宫产率和巨大儿增多，应给予合理有效的干预措施，控制BMI 在正常范围，以降低不良妊娠结局的发生。
目的：探討妊娠期糖尿病（ gestational diabetes mellitus，GDM ）孕婦孕前體質量指數（ body mass index，BMI）對分娩方式和新生兒體質量的影響，為孕婦體質量管理提供參攷依據。方法選取2011年7月至2013年12月在南京市婦幼保健院進行產前檢查、分娩的GDM 孕婦215例，根據孕婦孕前BMI不同，分為過低組、正常組、超重和肥胖組，分析GDM孕婦孕前不同BMI對分娩方式和新生兒體質量的影響。結果超重和肥胖組剖宮產率為82.76%、巨大兒為17.24%，高于正常組和過低組（ P <0.05）；超重和肥胖組低體重兒髮生率與正常組和過低組比較，差異無統計學意義（P >0.05）。結論孕前孕婦BMI 對GDM 孕婦圍產結跼有一定的影響，GDM 孕婦孕前超重和肥胖者剖宮產率和巨大兒增多，應給予閤理有效的榦預措施，控製BMI 在正常範圍，以降低不良妊娠結跼的髮生。
목적：탐토임신기당뇨병（ gestational diabetes mellitus，GDM ）잉부잉전체질량지수（ body mass index，BMI）대분면방식화신생인체질량적영향，위잉부체질량관리제공삼고의거。방법선취2011년7월지2013년12월재남경시부유보건원진행산전검사、분면적GDM 잉부215례，근거잉부잉전BMI불동，분위과저조、정상조、초중화비반조，분석GDM잉부잉전불동BMI대분면방식화신생인체질량적영향。결과초중화비반조부궁산솔위82.76%、거대인위17.24%，고우정상조화과저조（ P <0.05）；초중화비반조저체중인발생솔여정상조화과저조비교，차이무통계학의의（P >0.05）。결론잉전잉부BMI 대GDM 잉부위산결국유일정적영향，GDM 잉부잉전초중화비반자부궁산솔화거대인증다，응급여합리유효적간예조시，공제BMI 재정상범위，이강저불량임신결국적발생。
Objective To explore the influence of body mass index( BMI)of pregnant women with gestational diabetes mellitus ( GDM ) on the delivery modes and neonatal weight, to provide reference to body quality management for pregnant women. Methods 215 cases with GDM conducted antenatal examination and delivery in Nanjing Maternal and Child Health Hospital during July 2011 to December 2013 were selected,who were divided into low weight group,normal weight group,overweight group and obese group based on pre - pregnancy BMI. The influence of BMI of pregnant women with GDM on the mode of delivery and neonatal weight were analyzed. Results The cesarean delivery rate of overweight group and obese group was 82. 76%,incidence of macrosomia was 17. 24%, which were higher than normal weight group and the low weight group(P<0. 05). There was no significant difference in incidence of low birth weight between groups( P>0. 05). Conclusion The BMI has an influence on the perinatal outcomes of pregnant women with GDM,overweight and obese pregnant women with GDM prone to have higher cesarean section rate and incidence of macrosomia,effective interventions should be given to strictly control BMI of pregnant women with GDM,in order to reduce poor perinatal outcomes.
