妊娠期糖尿病孕妇孕期体重的动态分析  

Dynamic analysis on gestational weight of pregnant women with gestational diabetes mellitus

作　　者：袁静[1] 丛林[1] 姚洁[1] 付娟娟[1] 李从青[1] 

机构地区：[1]安徽医科大学第一附属医院妇产科,安徽合肥230022

出　　处：《中国妇幼保健》2010年第33期4825-4826,共2页Maternal and Child Health Care of China

基　　金：安微省自然科学基金项目〔070413092〕

摘　　要：目的:探讨孕期体重增加与妊娠期糖尿病的相关性。方法:进行流行病学调查和体重测量,通过实验室检查确诊妊娠期糖尿病,观察不同孕期体重增加与GDM的关系。结果:GDM组孕妇在不同孕周的BM I均高于健康妊娠组(P<0.05,P<0.01);GDM组孕妇中、晚孕期增重比健康妊娠组高(P<0.05,P<0.01),而早孕增重不高于健康妊娠组(P>0.05),同时,两组孕前BM I的等级分布无统计学差别(Z=1.64,P>0.05),采用重复序列方差分析的方法,两组孕期体重指数的增加比较有统计学差异(F=494.60,P<0.01)。结论:孕妇中晚孕期体重增长过快,发生GDM的可能性大。Objective： To explore the correlation between gestational weight gain and gestational diabetes mellitus （GDM） . Methods： An epidemiological survey and body weight measurement were perform, GDM was diagnosed by laboratory examination, and the relationship between gestational weight gain and GDM was observed. Results： BMI of GDM group at different gestational weeks were all higher than those of healthy group （ P 〈 0. 05, P 〈 0. 01 ） . The increase amplitudes of gestational weight in GDM group of middle and late pregnancy were higher than those in healthy group （ P 〈 0.05, P 〈 0. 01 ）, but the increase amplitude of gestational weight in GDM group of early pregnancy was lower than that in healthy group （ P 〉 0. 05 ） ; there was no significant difference in distribution of pregestational BMI grades between the two groups （ Z = 1.64, P 〉 0. 05 ） , based on variance analysis of repetitive sequence, there was significant difference in the increase of gestational BMI between the two groups （ F = 494. 60, P 〈 0. 01 ） . Conclusion ： The rapid increase of body weight during middle and late gestational weeks will lead to high possibility of GDM for pregnant women.

关 键 词：妊娠期糖尿病 体质指数 动态分析 

分 类 号：R714.256[医药卫生—妇产科学]