蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
8期
1039-1041
,共3页
妊娠并发症%糖尿病%巨大儿%影响因素
妊娠併髮癥%糖尿病%巨大兒%影響因素
임신병발증%당뇨병%거대인%영향인소
getational diabitets mellitus%diabitets%macrosomia%influence factor
目的：：分析妊娠期糖尿病( GDM)孕妇分娩巨大儿的可能影响因素。方法：选取定期产检并分娩、孕周>37周的单活胎GDM孕妇371例临床资料，包括年龄、身高、体质量、孕前体质量指数( BMI)、孕期体质量增长、糖尿病家族史、不良孕产史、巨大儿产史、新生儿性别、血糖治疗方案、血糖控制情况、是否分娩巨大儿等。采用非条件多因素二分类logistic回归方程分析影响GDM孕妇分娩巨大儿的可能影响因素。结果：巨大儿组孕妇身高、体质量和新生儿男性人数均高于非巨大儿组( P<0.05~P<0.01)，而巨大儿组孕妇血糖控制良好率明显低于非巨大儿组(P<0.01)。孕妇孕前后体质量指数差和血糖控制情况均是分娩巨大儿的独立影响因素(P<0.05)。结论：有效控制GDM孕妇孕期体质量的过度增长，维持良好的血糖水平，对于预防GDM孕妇分娩巨大儿具有潜在的意义。
目的：：分析妊娠期糖尿病( GDM)孕婦分娩巨大兒的可能影響因素。方法：選取定期產檢併分娩、孕週>37週的單活胎GDM孕婦371例臨床資料，包括年齡、身高、體質量、孕前體質量指數( BMI)、孕期體質量增長、糖尿病傢族史、不良孕產史、巨大兒產史、新生兒性彆、血糖治療方案、血糖控製情況、是否分娩巨大兒等。採用非條件多因素二分類logistic迴歸方程分析影響GDM孕婦分娩巨大兒的可能影響因素。結果：巨大兒組孕婦身高、體質量和新生兒男性人數均高于非巨大兒組( P<0.05~P<0.01)，而巨大兒組孕婦血糖控製良好率明顯低于非巨大兒組(P<0.01)。孕婦孕前後體質量指數差和血糖控製情況均是分娩巨大兒的獨立影響因素(P<0.05)。結論：有效控製GDM孕婦孕期體質量的過度增長，維持良好的血糖水平，對于預防GDM孕婦分娩巨大兒具有潛在的意義。
목적：：분석임신기당뇨병( GDM)잉부분면거대인적가능영향인소。방법：선취정기산검병분면、잉주>37주적단활태GDM잉부371례림상자료，포괄년령、신고、체질량、잉전체질량지수( BMI)、잉기체질량증장、당뇨병가족사、불량잉산사、거대인산사、신생인성별、혈당치료방안、혈당공제정황、시부분면거대인등。채용비조건다인소이분류logistic회귀방정분석영향GDM잉부분면거대인적가능영향인소。결과：거대인조잉부신고、체질량화신생인남성인수균고우비거대인조( P<0.05~P<0.01)，이거대인조잉부혈당공제량호솔명현저우비거대인조(P<0.01)。잉부잉전후체질량지수차화혈당공제정황균시분면거대인적독립영향인소(P<0.05)。결론：유효공제GDM잉부잉기체질량적과도증장，유지량호적혈당수평，대우예방GDM잉부분면거대인구유잠재적의의。
Objective:To analyze the influence factors of the delivery of macrosomia in pregnant women with gestational diabitets mellitus(GDM). Methods:The clinical data,which included the age,height,pre-pregnancy body mass index,increase of body mass, family history of diabetes, abnormal pregnancy history, neonatal sex, treatment programmes of blood sugar, blood sugar control and delivery of macrosomiain 371 GDM pregnant women with more than 37 weeks LSA were retrospectively analyzed. The influence factors of the incidence of macrosomia in pregnant women with GDM were analyzed using multi-factor logistic regression analysis. Results:The height and body mass of pregnant women and male newborns in macrosomia group were higher than those in nonmacrosomia group( P<0. 01 to P<0. 05),the good rate of blood sugar control in macrosomia group was significantly lower than that in nonmacrosomia group (P<0. 01). The analysis showed that the difference of body mass index between before and after pregnancy and blood sugar control were the independent influence factors of the delivery of macrosomia in pregnant women with GDM(P <0. 05). Conclusions:The effective controlling the excessive growth of body mass and maintaining the good blood sugar level in pregnant women with GDM can reduce the incidence of the delivery of macrosomia.
