孕妇血糖与胎儿体重的分析  

Maternal Serum Glucose and the Fetal Birth Weight

作　　者：唐火明[1] 袁龙[1] 

机构地区：[1]上海国际和平妇幼保健院,上海200030

出　　处：《实用妇产科杂志》2002年第1期39-40,共2页Journal of Practical Obstetrics and Gynecology

摘　　要：目的 :探讨孕妇空腹血糖与胎儿体重的相关性 ,防止巨大儿的发生。方法 :对本院 340例孕妇根据胎儿出生时体重分为 5组 ,并以此分析各组胎儿体重与孕妇血糖之间的相关程度 ,血糖测定用葡萄糖氧化酶法。结果 :各孕妇组 ,除第 3与第 4组血糖差别有非常显著意义 (P<0 .0 1)外 ,其他各组之间差别无显著意义 (P>0 .0 5 ) ,但血糖值与胎儿体重相关非常密切 (γ=0 .994 ) ,且胎儿体重与分娩方式的结局有关。结论 :孕妇血糖值正常也可以产生巨大儿 ,为提高围产期质量 ,防止巨大儿的发生 ,建议对孕妇进行动态血糖分析 。Objectives:To examine the relationship between the suerm glucose of pregnancy and the fetal birth weight.Methods:340 pregnancies in our hospital were devided into 5 groups,and relationship between maternal serum glucose of pregnancies and the fetal birth weight was computed.Maternal suerm glucose were measured by glucose oxidation (GOD). Results:The maternal suerm glucose with Group 3 showed a significant difference from Group 4 ( P <0.01), No significant differences in the maternal suerm glucose levels were observed in other groups. There was significant correlation between the value of maternal suerm glucose and the fetal birth weight(γ=0.994).Conclusions:The maternal serum glucose is a good diagnostic index to predict macrosomia, but the pregnancies with normal suerm glucose levels have risk for macrosomia. We suggest that the dynamic suerm glucose and OGTT would be analysed in pregnancies, The perinatal outcomes in pregnancies would be improved.

关 键 词：孕妇 血糖 胎儿体重 糖耐量试验 分娩方式 

分 类 号：R714.51[医药卫生—妇产科学]