肥胖孕妇孕期体脂控制对妊娠期糖尿病的预防及母婴结局的影响  

The Influence of Obesity Pregnant Women's Body Fat Control During Pregnancy on the Prevention of Gestational Diabetes and the Maternal and Infant Outcome

作　　者：李玉莲[1] LI Yu-lian(Department of Obstetrics,Changchun Obstetrics and Gynecology Hospital,Changchun,Jilin Province,130042 China)

机构地区：[1]长春市妇产医院产科,吉林长春130042

出　　处：《糖尿病新世界》2020年第20期57-59,共3页Diabetes New World Magazine

摘　　要：目的探讨孕期体脂控制对肥胖孕妇妊娠期糖尿病(GDM)的预防及母婴结局的影响。方法将2019年1—12月长春市妇产医院收治的126例肥胖孕妇分为两组,对照组孕妇给予常规产检及饮食运动指导,研究组孕妇在常规产检的基础上施以有针对性的体脂控制管理,比较两组孕妇BMI、体脂百分率变化情况、血糖控制情况及母婴结局。结果研究组孕妇BMI、体脂百分率增长幅度显著低于对照组(P<0.05),空腹血糖和餐后2 h血糖也明显低于对照组(P<0.05);两组孕妇产钳助产及新生儿窒息、胎儿窘迫发生率差异无统计学意义(P>0.05);而研究组孕妇剖宫产及巨大儿发生率均明显低于对照组(P<0.05)。结论采取有针对性的饮食运动指导来控制肥胖孕妇体脂,有利于调控孕妇糖脂代谢水平,预防GDM发生,改善母婴结局。Objective To investigate the influence of body fat control during pregnancy on the prevention of gestational diabetes mellitus(GDM)in obese pregnant women and maternal and infant outcomes.Methods 126 obese pregnant women admitted to Changchun Maternity Hospital from January to December 2019 were divided into two groups.The pregnant women in the control group were given routine check-ups and dietary exercise guidance;the study group adopted targeted body fat control management,comparing the changes in BMI,body fat percentage,blood glucose control and maternal and infant outcomes between the two groups of pregnant women.Results The increase in BMI and body fat percentage of pregnant women in the study group was significantly lower than that in the control group(P<0.05),and the fasting blood glucose and blood glucose 2 h after a meal were also significantly lower than those in the control group(P<0.05);there was no statistically significant difference in the incidence of asphyxia and fetal distress(P>0.05);the incidence of cesarean section and macrosomia in pregnant women in the study group was significantly lower than that in the control group(P<0.05).Conclusion Taking targeted diet and exercise guidance to control body fat in obese pregnant women is beneficial to regulate the level of glucose and lipid metabolism of pregnant women,prevent the occurrence of GDM,and improve maternal and infant outcomes.

关 键 词：妊娠期糖尿病 肥胖孕妇 体脂控制 母婴结局 

分 类 号：R587.1[医药卫生—内分泌]