妊娠期糖尿病与巨大儿的关系200例分析  

Analysis on the relationship between gestational diabetes mellitus and macrosomia:200 cases

作　　者：顾小燕[1] 沈存根[2] 

机构地区：[1]扬州市妇幼保健院,江苏扬州225002 [2]中共国家税务总局党校,江苏扬州225007

出　　处：《中国妇幼保健》2016年第16期3256-3257,共2页Maternal and Child Health Care of China

基　　金：江苏省妇幼保健科研项目(F201324)

摘　　要：目的研究女性巨大儿成年后与妊娠期糖尿病（GDM）发病率的关系,以期为GDM的病因学研究提供线索,并对产前孕妇营养指导提供依据。方法随机收集2013年10月13日-2015年1月12日在该院分娩的产妇3 377例,其中年龄〈35岁的单胎足月产妇,且出生体重≥4 000 g的共有200例,作为研究组,同时随机抽取200例出生体重在正常范围内的产妇作为对照组,分析2组相应人群GDM发生率有无差异。结果研究组孕妇的GDM发生率（29.00%）及分娩巨大儿发生率（16.50%）明显高于对照组孕妇（14.00%,9.00%）,两组分别比较,差异均具有统计学意义（χ2值分别为13.331、5.056,P〈0.05）。结论通过合理饮食、适当锻炼,将孕前体重及孕期体重增长幅度控制到正常范围,尽量降低巨大儿的发生率,对提高产科质量意义重大。Objective To research the relationship between female macrosomia and gestational diabetes mellitus（ GDM） after adult,provide clues for GDM etiologic research and nutritional guidance for pregnant women before delivery. Methods A total of 3 377 puerperae were collected from the hospital from October 13 rd,2013 to January 12 th,2015,among which 200 single full- term puerperae younger than35 years old and more than 4 000 g（ including 4 000 g） of birth weight were selected as research group. Meanwhile,200 puerperae born with normal weight were randomly selected as control group. The difference of GDM incidence rate between the two groups was analyzed.Results In research group,the incidence rates of GDM（ 29. 00%） and macrosomia（ 16. 50%） were statistically significantly higher than those in control group（ 14. 00%,9. 00%）（ χ2= 13. 331,P〈0. 05; χ2= 5. 056,P〈0. 05）. Conclusion The body weight before and during pregnancy can be controlled to normal range by proper diet and exercise,in order to reduce the incidence rate of macrosomia,which has great significance to improve the quality of Obstetric Department.

关 键 词：体重指数 妊娠期糖尿病 巨大儿 

分 类 号：R587.1[医药卫生—内分泌]