妊娠期糖尿病孕妇孕前体质指数及孕期增重对妊娠结局的影响  

Effect of Pre-pregnancy Body Mass Index and Pregnancy Weight Gain on Pregnancy Outcome in Pregnant Women with Gestational Diabetes Mellitus

作　　者：陈娟芳 CHEN Juanfang(Department of Obstetrics and Gynecology,the Fifth Hospital of Fuqing City,Fuzhou,Fujian Province,350319 China)

机构地区：[1]福清市第五医院妇产科,福建福州350319

出　　处：《糖尿病新世界》2022年第21期44-47,共4页Diabetes New World Magazine

摘　　要：目的 研究探讨妊娠期糖尿病孕妇孕前体质指数及孕期增重对其妊娠结局的影响。方法 选取2020年1月—2022年1月在福清市第五医院产科登记建档且顺利娩下胎儿的122例妊娠期糖尿病孕妇纳入作为研究样本,回顾性分析122例孕妇的临床资料,根据孕妇的孕前体质指数将孕妇分为孕前正常体质量组、孕前消瘦组、孕前超重组,对比3组的新生儿出生体质量、新生儿Apgar评分、妊娠不良结局发生率。根据孕妇在孕期增加的体质量,将孕妇分为孕期增重正常组与孕期增重过度组,比较两组的新生儿出生体质量、新生儿Apgar评分、妊娠不良结局发生率。结果 新生儿出生体质量在孕前超重组、孕前正常体质量组孕妇中均明显大于孕前消瘦组,差异有统计学意义(P<0.05);新生儿Apgar评分在孕前消瘦组、孕前正常体质量组中均明显高于孕前超重组,差异有统计学意义(P<0.05);妊娠不良结局发生率在孕前正常体质量组中低于孕前消瘦组、孕前超重组,差异有统计学意义(P<0.05)。孕期增重正常组的新生儿出生体质量为(3.30±0.72)kg低于孕期增重过度组,差异有统计学意义(t=6.023,P<0.05);孕期增重正常组的新生儿Apgar评分高于孕期增重过度组,差异有统计学意义(P<0.05);孕期增重正常组的妊娠不良结局发生率低于孕期增重过度组,差异有统计学意义(P<0.05)。结论 孕妇孕前体质指数、孕期增加重量与妊娠期糖尿病的母婴结局存在密切关联,孕妇在妊娠期需对自身体质量进行严格控制。Objective To investigate the effects of pre-pregnancy body mass index and pregnancy weight gain on pregnancy outcome in pregnant women with gestational diabetes mellitus.Methods Selected January 2020 to January 2022, 122 pregnant women with gestational diabetes mellitus who were registered in the obstetrics and gynecology department of the Fifth Hospital of Fuqing City and delivered their fetuses successfully were included as the study sample. The clinical data of 122 pregnant women were retrospectively analyzed, and the pregnant women were divided into pre-pregnancy normal weight group, pre-pregnancy wasting group, and pre-pregnancy overweight group according to their pre-pregnancy body mass index. Neonatal birth weight, neonatal Apgar score and incidence of adverse pregnancy outcomes were compared among the three groups. According to the weight gained by pregnant women during pregnancy, pregnant women were divided into normal weight gain during pregnancy group and excessive weight gain during pregnancy group. Neonatal birth weight, neonatal Apgar score and incidence of adverse pregnancy outcomes were compared between the two groups.Results Neonatal birth weight was significantly greater in both the prepregnancy overweight group and the pre-pregnancy normal weight group than in the pre-pregnancy wasting group, the difference was statistically significant(P<0.05);the neonatal Apgar score was significantly higher in the prepregnancy wasting group and pre-pregnancy normal body weight group than in the pre-pregnancy overweight group,the difference was statistically significant(P<0.05);the incidence of adverse pregnancy outcomes was lower in the prepregnancy normal weight group than in the pre-pregnancy wasting group and the pre-pregnancy overweight group, the difference was statistically significant(P<0.05). The neonatal birth weight was(3.30±0.72)kg lower in the normal weight gain during pregnancy group than in the excess weight gain during pregnancy group, the difference was statistically significant(t=6.023,P<0.

关 键 词：妊娠期糖尿病 孕前体质指数 孕期增重 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]