妊娠期糖尿病孕妇血糖水平与新生儿体质量的相关性  

Relationship of Blood Glucose Levels of Pregnant Women with Gestational Diabetes and the Birth Weight of Newborns

作　　者：安娜[1] 刘雯[1] 赵丽娜[1] 韩冬韧[1] 陈月琴[1] 

机构地区：[1]首都医科大学附属北京妇产医院,北京100026

出　　处：《现代生物医学进展》2015年第23期4490-4491,4508,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(30672254)

摘　　要：目的:探究妊娠期糖尿病(GDM)孕妇产前血糖水平与新生儿质量的关系。方法:选取2012年6月至2014年6月我院分娩的GDM孕妇97例为研究对象,按照随机数字表法将患者随机分为严格组(50例)和宽松组(47例),选择同期血糖正常孕妇50例作为对照组;分析孕妇血糖水平与新生儿出生质量的关系。结果:对照组血糖水平、新生儿质量以及巨大儿的发生率均明显低于宽松组和严格组(P<0.05);严格组的血糖水平、新生儿质量以及巨大儿的发生率均明显低于宽松组(P<0.05);孕妇血糖水平与新生儿质量存在显著的正相关(r=0.72,P<0.05)。结论:产前孕妇血糖水平与新生儿质量存在显著的正相关,对GDM患者产前进行严格的血糖控制有助于降低巨大儿的发生率,有利于母体和新生儿的健康。Objective： To explore the relationship between level of blood glucose and birth weight in gestational diabetes（GDM）.Methods： 97 cases of patients were selected in our hospital with gestational diabetes from June 2012 to June 2014 as research objective,and they were randomly divided into strict group（50 cases） and loose group（47cases） according to the random number table method, and 50 cases of health pregnant women were selected as control group, to analyze the relationship between level of blood glucose and birth weight. Results： The control group＇s blood glucose level, weight of newborns and the incidence of macrosomia were significantly lower than strict group＇s and loose group＇s（P〈0.05）; The strict group＇s blood glucose level, weight of newborns and the incidence of macrosomia were significantly lower than the loose group＇s（P〈0.05）; The pregnant women＇s blood glucose level were positively correlated with the birth weight（r=0.72, P〈0.05）. Conclusion： The pregnant women＇s blood glucose level were positively correlated with the birth weight. Prenatal to strict glycemic control in patients with GDM is helpful to reduce the incidence of macrosomia and advantageous to the health of pregnant women and newborns, which is worth promoting to the clinical field.

关 键 词：妊娠期糖尿病 新生儿 新生儿质量 

分 类 号：R714.256[医药卫生—妇产科学] R722[医药卫生—临床医学]