孕妇全身脂肪百分比与妊娠结局关系的研究  

STUDY ON THE RELATIONSHIP OF PERCENTAGE OF WHOLE BODY FAT WITH PREGNANCY OUTCOME AMONG PREGNANT WOMEN

作　　者：侯艳梅[1] 于珊[1] 段明英[1] 

机构地区：[1]山东省济南市妇幼保健院,济南250001

出　　处：《现代预防医学》2009年第16期3039-3040,3042,共3页Modern Preventive Medicine

基　　金：济南市卫生局立项课题(2006-22)

摘　　要：[目的]探讨孕妇脂肪百分比与妊娠结局关系。[方法]随机选取2007年7月～2008年4月在我院进行孕期营养指导并系统产前检查及分娩的初产、单胎、孕前无慢性疾病史的健康妊娠妇女646名。利用肌肉功能分析仪(MES)测量不同孕期孕妇全身脂肪百分比、身高、体重。并记录有无妊娠并发症(子痫前期,妊娠期糖尿病),新生儿异常(巨大儿),新生儿体重及分娩方式。[结果]①不同孕期孕妇全身脂肪百分比与新生儿出生体重相关系数高于孕妇体重指数与新生儿出生体重的相关系数,均呈显著正相关性;②正常组、肥胖组、过度肥胖组早、中、晚孕期间全身脂肪百分比均差异有统计学意义(P﹤0.01),相同孕期3组全身脂肪百分比均有差异有统计学意义(P﹤0.01);③新生儿出生体重在2500～4000g的孕妇,正常组、肥胖组早、中、晚孕期间全身脂肪百分比差异均有统计学意义(P﹤0.01),过度肥胖组早、中孕全身脂肪百分比差异有统计学意义(P﹤0.01),中、晚孕差异无统计学意义(P﹥0.05)。相同孕期3组全身脂肪百分比差异均有统计学意义(P﹤0.01);④正常组、肥胖组、过度肥胖组中子痫前期、妊娠期糖尿病、胎儿窘迫、巨大儿、剖宫产发生率差异均有统计学意义,肥胖组、过度肥胖组高于正常组,P﹤0.01。[结论]孕前或孕早期及孕期应注意合理营养,控制孕期全身脂肪百分比含量的增长,利于母婴的健康。[Objective] To explore the relationship of percentage of whole body fat with pregnancy outcome among pregnant women. [Methods] 646 health pregnant women who were progestation,first birth and single pregnancy without chronic disease were select randomly to perform nutritional guidance and system prenatal examination in our hospital from July 2007 to April 2008;The percentage of whole body fat,height,weight of different gestational period among pregnant women by MES;We also recorded whether there was complications of pregnancy （preeclampsia, Gestafional Diabetes Mellitus）, abnormal new-born （macrosomia） , weight of newborn and delivery modes. [ Results] （1） The dependent coefficient of the percentage of whole body fat and newborn birth weight among pregnant women with different gestational period was high than the dependent coefficient of pregnant women body mass index and newborn birth weight, and either of dependent coefficient is significantly Positive relationship. （2） The percentage of whole body fat in the normal group, obesity group and excessive obesity group were significant difference among early, middle and later gestational periods （P 〈 0.01 ）. The percentage of the whole body fat among the three groups were significant difference during the same gestational periods （P 〈 0.01 ）. （3）The whole body fat percentage of the normal group and the obesity group whose newborn birth weight was 2500--4000g, which was significant difference during early, middle and term pregnancy （P 〈 0.01 ）. The percentage of whole body fat in the excessive obesity group was significant difference during early and middle pregnancy （P 〈 0.01 ）. There was not significant difference during middle and term pgnaney （P 〉 0.05）. （4） The incidence rates of preeelampsia, gestational diabetes mellitus, fetal distress, macrosomia, cesarean section were significant difference in the normal group, the obesity group and the excessive obesity group （P 〈 0.01 ）. [ Conclusion ] We should p

关 键 词：孕妇 全身脂肪百分比含量 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]