妊娠期糖尿病孕妇糖化血红蛋白与新生儿体质量、不良妊娠结局的关系分析  

Analysis of the Relationship between Glycosylated Hemoglobin,Newborn Weight and Adverse Pregnancy Outcomes in Pregnant Women with Gestational Diabetes Mellitus

作　　者：朱爱玉 叶文鑫 王桁慧 ZHU Aiyu;YE Wenxin;WANG Henghui(Department of Obstetrics and Gynecology,Quanzhou Decheng Hospital,Quanzhou,Fujian Province,362000 China)

机构地区：[1]泉州德诚医院妇产科,福建泉州362000

出　　处：《糖尿病新世界》2023年第8期32-35,共4页Diabetes New World Magazine

摘　　要：目的分析妊娠期糖尿病孕妇糖化血红蛋白与新生儿体质量、不良妊娠结局之间的关系。方法选取2021年7月—2022年7月泉州德诚医院接收的120例妊娠期糖尿病孕妇,根据糖化血红蛋白是否正常分为正常组(n=40)与非正常组(n=80),两组均随访至分娩,比较基线资料与新生儿体质量、不良妊娠结局发生情况,分析妊娠期糖尿病孕妇糖化血红蛋白与新生儿体质量、不良妊娠结局之间的相关性。结果非正常组新生儿体质量、不良妊娠结局发生情况均高于正常组,差异有统计学意义(P<0.05);妊娠期糖尿病孕妇糖化血红蛋白与新生儿体质量、不良妊娠结局呈正相关(r=0.579、0.643,P<0.05)。结论妊娠期糖尿病孕妇糖化血红蛋白与新生儿体质量、不良妊娠结局之间呈正相关,具体表现为糖化血红蛋白水平越高,新生儿体质量越重、不良妊娠结局发生频率越高,提醒临床应加强妊娠期糖尿病孕妇糖化血红蛋白水平控制。Objective To analyze the relationship between glycosylated hemoglobin,newborn weight and adverse pregnancy outcomes in pregnant women with gestational diabetes mellitus.Methods A total of 120 pregnant women with gestational diabetes received by Quanzhou Decheng Hospital from July 2021 to July 2022 were selected in the study.According to whether the glycosylated hemoglobin was normal,they were divided into normal group(n=40)and abnormal group(n=80).Both groups were followed up until delivery,and the baseline data,newborn weight,and frequency of adverse pregnancy outcomes were compared.To analyze the relationship between glycosylated hemoglobin,newborn weight and occurrence of adverse pregnancy outcomes in pregnant women with gestational diabetes mellitus.Results The newborn weight and occurrence of adverse pregnancy outcomes of the abnormal group were higher than those in the normal group,and the difference was statistically significant(P<0.05).Glycated hemoglobin in pregnant women with gestational diabetes was positively correlated with newborn weight and adverse pregnancy outcomes(r=0.579,0.643,P<0.05).Conclusion There is positively correlated,between glycosylated hemoglobin in pregnant women with gestational diabetes mellitus,newborn weight and adverse pregnancy outcomes.The specific performance is that the higher the level of glycosylated hemoglobin,the heavier the newborn weight,and the higher the frequency of adverse pregnancy outcomes,it reminds the clinic to strengthen the control of the level of glycosylated hemoglobin in pregnant women with gestational diabetes.

关 键 词：妊娠期糖尿病 糖化血红蛋白 新生儿体质量 不良妊娠结局 关系 

分 类 号：R587.1[医药卫生—内分泌]