妊娠期糖尿病孕妇孕期体重指数增长对妊娠结局影响的临床分析  

A clinical research on the relationship between the body index gain of gestational diabetes mellitus women and pregnancy outcome

作　　者：雷友金[1] 黄俊彦[1] 周泽娟[1] 

机构地区：[1]广东省妇幼保健院妇产科,510010

出　　处：《中国妇幼保健》2008年第13期1775-1776,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨妊娠期糖尿病孕妇孕期体重指数增长对母婴的影响。方法:对120名在我院检查及分娩的妊娠期糖尿病孕妇进行调查,记录孕妇孕前及分娩前的身高、体重,计算体重指数(BMI),计算出孕期体重指数增加值,并随访妊娠结局。结果:孕期体重指数增加<3的孕妇出现胎儿宫内窘迫及低体重儿的发生率高于孕期体重指数增加3～6的孕妇,有统计学意义,孕期体重指数增加>6的孕妇出现先兆子痫、产后出血、胎儿宫内窘迫、巨大儿的发生率高于孕期体重指数增加3～6的孕妇。结论:妊娠期糖尿病孕妇在治疗后控制体重指数增加在一定范围内可使母婴并发症的发生率降低。Objective： To explore the relationship between the body index gain of gestational diabetes mellitus women and pregnancy outcome. Methods： Body mass index （BMI） was calculated before pregnancy and before delivery in 120 gestational diabetes mellitus women to record the pregnant outcome. Results： Among lower, middle and higher BMI gain groups, the incidences of preeclampsia . postpartum hemorrhage, fetal destress, macrosomia, fetal growth retardation had significant difference. Conclusion： The complications can be decrease by the routine treatment and controlling the BMI gain.

关 键 词：体重指数 妊娠期糖尿病 

分 类 号：R714.256[医药卫生—妇产科学]