妊娠期糖尿病患者孕期体质量增长与胎儿出生体质量的关系及对妊娠结局的影响  

Relation of body weight gain during pregnancy with birth weight of neonates and its influence on pregnancy outcomes in women with gestational diabetes mellitus

作　　者：曾晶[1] 凌金凤 闫凤[3] 谢冠恩 

机构地区：[1]武警广东省总队医院营养科,广东广州510507 [2]武警广东省总队医院妇产科,广东广州510507 [3]广州医学院第一附属医院,广东广州510120

出　　处：《现代医药卫生》2012年第8期1157-1158,1160,共3页Journal of Modern Medicine & Health

摘　　要：目的探讨妊娠期糖尿病(GDM)患者孕期体质量增长与胎儿出生体质量的关系及对妊娠结局的影响。方法收集132例GDM患者孕期血糖、体质量、产前糖化血红蛋白(HbA1c)、分娩情况、新生儿体质量及并发症情况,按照孕前体质量指数(BMI)进行分组,研究在不同体质量基础上孕期体质量增长对胎儿及妊娠结局的影响。结果孕期体质量增加越多,胎儿出生体质量越高;体质量过轻组孕期体质量增加超过15 kg时,胎儿出生体质量明显增加,差异有统计学意义(P<0.05)。各组中随着体质量的增加,需要行剖宫产术和出现不良妊娠结局的比例也升高。结论 GDM患者孕期体质量增长与胎儿出生体质量相关,针对不同孕前体质量的GDM患者采取积极的饮食治疗措施,使孕期体质量恰当地增长,能控制胎儿出生体质量于合理范围,减少不良妊娠结局的出现。Objective To explore the relation of body weight gain during pregnancy with birth weight of neonates and its influence on pregnancy outcomes in pregnant women with gestational diabetes mellitus（GDM）.Methods The data of blood sugar during pregnancy,body weight,HbAIc,delivery,neonatal body weight and complications in 132 pregnant women of single pregnancy with GDM were collected and grouped according to the the prepregnancy body mass index（BWI）.The influence of body weight gain during pregnancy to fetus and pregnancy outcomes on the base of different body weights was investigated.Results Higher body weight gain during pregnancy was followed up by higher birth weight of neonates in pregnant women with GDM.In the body weith gain during pregancy surpassing 15 kg in the low body weight group,the birth weight of neonates was significantly increased than that in the other groups with statistical difference between them（P0.05）.The body weight gain during pregnancy in various groups showed a gradual increasing tendency of cesarean section and bad pregnancy outcomes.Conclusion Body weight gain during pregnancy of pregnant women with GDM is related to birth weight of neonates.Aiming at different prepregnancy body weights in the pregnant women with GDM,taking the active measures of dietary treatment for propely increasing the pregnant body weight can control the body weight within a reasonable range and reduce the occurrence of bad pregnancy outcomes.

关 键 词：糖尿病 妊娠 妊娠结局 体质量增长 出生体质量 围生医学 

分 类 号：R587.1[医药卫生—内分泌]