中国临床医生杂志
中國臨床醫生雜誌
중국림상의생잡지
Chinese Journal for Clinicians
2015年
11期
39-42
,共4页
妊娠%体重%体重指数%妊娠期糖尿病
妊娠%體重%體重指數%妊娠期糖尿病
임신%체중%체중지수%임신기당뇨병
Pregnancy%Weight%body mass index%Gestational diabetes mellitus%Giant infant
目的 探讨新标准下妊娠期糖尿病( GDM )及其新生儿体重与孕前 BMI、孕期增重的关系.方法 回顾性分析本院10 369例产妇孕前BMI、孕期增重与是否诊断GDM、新生儿体重的关系. 结果 孕前BMI与GDM的发生和新生儿体重呈正相关,孕期增重与GDM的发生呈负相关、与新生儿体重呈正相关;GDM组孕前 BMI 高于非 GDM 组. 随着孕前 BMI 的增加, GDM 的发生率逐渐增加( X2 =261. 602, P=0. 000).GDM组的新生儿体重明显高于非GDM组. 结论 孕前BMI与GDM的发生呈正相关,虽然严格管理体重,仍有胎儿巨大的可能;孕前BMI与孕期增重均与新生儿体重呈正相关.
目的 探討新標準下妊娠期糖尿病( GDM )及其新生兒體重與孕前 BMI、孕期增重的關繫.方法 迴顧性分析本院10 369例產婦孕前BMI、孕期增重與是否診斷GDM、新生兒體重的關繫. 結果 孕前BMI與GDM的髮生和新生兒體重呈正相關,孕期增重與GDM的髮生呈負相關、與新生兒體重呈正相關;GDM組孕前 BMI 高于非 GDM 組. 隨著孕前 BMI 的增加, GDM 的髮生率逐漸增加( X2 =261. 602, P=0. 000).GDM組的新生兒體重明顯高于非GDM組. 結論 孕前BMI與GDM的髮生呈正相關,雖然嚴格管理體重,仍有胎兒巨大的可能;孕前BMI與孕期增重均與新生兒體重呈正相關.
목적 탐토신표준하임신기당뇨병( GDM )급기신생인체중여잉전 BMI、잉기증중적관계.방법 회고성분석본원10 369례산부잉전BMI、잉기증중여시부진단GDM、신생인체중적관계. 결과 잉전BMI여GDM적발생화신생인체중정정상관,잉기증중여GDM적발생정부상관、여신생인체중정정상관;GDM조잉전 BMI 고우비 GDM 조. 수착잉전 BMI 적증가, GDM 적발생솔축점증가( X2 =261. 602, P=0. 000).GDM조적신생인체중명현고우비GDM조. 결론 잉전BMI여GDM적발생정정상관,수연엄격관리체중,잉유태인거대적가능;잉전BMI여잉기증중균여신생인체중정정상관.
Objective To investigate the relativity between gestational diabetes mellitus ( GDM ) and its neonatal birth weight and pre-pregnancy body mass index ( BMI) , weight gain during pregnancy. Method The delivery data of Beijing Obstetrics and Gynecology Hospital, Capital Medical University in 2013 were collected, including body mass index,weight gain during pregnancy and neonatal birth weight,excepting cases of obstetric complications. The correlation between pre-pregnancy BMI, weight gain during pregnancy and the onset of GDM was analyzed, and re-lated factors of neonatal birth weight were analyzed too. Result Pre-pregnancy BMI was significant positive correla-tion with the onset of GDM and neonatal birth weight. Gestational weight gain was negative correlation with the onset of GDM and was significant positive correlation with neonatal birth weight. Pre-pregnancy BMI in diabetes group was significant higher than that in non-diabetes group. Incidence of GDM increased with the increase of pre-pregnancy BMI(X2=261. 602,P=0. 000). The neonatal birth weight in diabetes group was significant higher than that in non-diabetes group despite a lower weight gain in diabetes group. Conclusion Pre-pregnancy BMI was positively correla-ted with the onset of GDM, and the possibility of giant infant increased despite the strict weight gain limitation dur-ing pregnancy in GDM pregnant women. Both pre-pregnancy BMI and gestational weight gain were positively corre-lated with neonatal birth weight.
