孕妇体重与妊娠糖尿病及巨大儿  

The relationship between weight gain and gestational diabetes mellitus and fetal macrosonia.

作　　者：蒋鉴芬[1] 

机构地区：[1]上海国际和平妇幼保健院产科,上海200030

出　　处：《中国优生优育（1990-2002上半年）》2001年第4期150-153,共4页Journal of Improving Birth Outcome and Child Development of China

摘　　要：目的 评价孕期体重增长与妊娠糠尿病(GDM)和巨大儿的关系,对孕期体重增长的合适范围提出建议。方法 选择我院产科登记的GDM孕妇73例作为研究组,以同期无并发症的孕妇73例作为对照组,定期检查至分娩。结果 孕前和分娩前平均体重,孕前超重型和肥胖型人数,孕期体重增长≥20kg的人数GDM组多于对照组,2组比较,差异有显著性(P<0.05,P<0.01);体重增长>15 kg巨大儿发生GDM组为28.57％(14/49),对照组为9.38％(3/32),2组比较,差异有显著性(P<0.05);体重增长≤15kg巨大儿发生GDM组为0,对照组为4.62％(3/65);孕期对照组平均体重增长14.44kg,GDM组平均体重增长18.20kg。结论 孕前体质指数增大与GDM发生有关;孕期的体重超增与巨大儿发生有关;孕妇的体重增长>15 kg巨大儿发生明显增加,故建议整个孕期体重增长的合适范围应控制在10～12.5kg。Objective To evaluate the relationship between weight gain and gestational diabetes mellitus (GDM) and fetal macrosonia. Methods 73 pregnant women with GDM were selected as study group, and 73 pregnant women without GDM as comparison group. Prenatal examinations were performed regularly for the women in both groups. Results Both pre-pregnant and antepartum weights were higher in the study group than those in the comparison group (P<0. 05). Women in the study group were more likely to be over weight than those in the comparison group (P<0. 01). The frequency number of women with a weight gain of 20-kilogram since pregnancy was higher than that in the comparison group (P<0. 01). Among women with a weight gain of over 15-kilogram, 14 cases of macrosonia (28. 57 %) were seen in the study group compared with 3 cases (9. 38 %) in the comparison group (P<0. 01). No macrosonia case in the study group but 3 cases in the comparison group were seen among women with a weight gain of less than 15-kilogram. The mean weight gain was 18. 20-kilogram in the study group compared with 14. 44-kilogram in the comparison group. Conclusion Higher pre-pregnant body mass index is associated with the risk of GDM, and over-weight, i. e., a weight gain of over 15-kilogram, during pregnancy is a risk factor for macrosonia. This suggests that weight gain during pregnancy should be within the range of 10 to 12. 5-kilogram to reduce the risk of macrosonia and maternal and infant complications.

关 键 词：妊娠糖尿病 体重 巨大儿 孕妇 GDM 

分 类 号：R714.25[医药卫生—妇产科学]