孕前体重指数和孕期体质量增加对孕妇妊娠期血糖与并发症及母婴不良妊娠结局的影响  

Effects of pre-pregnancy body mass index and weight gain during pregnancy on maternal blood glucose,pregnancy complications and adverse pregnancy outcomes

作　　者：操林凤 程昭君 陈治珍 CAO Linfeng;CHENG Zhaojun;CHEN Zhizhen(Department of Obstetrics and Gynecology,Maternal and Child Health Hospital of Qichun County,Huanggang,Hubei,435300,China)

机构地区：[1]蕲春县妇幼保健院妇产科,湖北黄冈435300

出　　处：《当代医学》2023年第19期29-33,共5页Contemporary Medicine

摘　　要：目的探究孕前体重指数(BMI)和孕期增重与孕期血糖的关系及对母婴不良妊娠结局的影响。方法选取2018年12月至2019年12月于本院产检并建档的90名孕妇作为研究对象,根据孕前BMI分为BMI异常组(n=25)与BMI正常组(n=65),并根据妊娠期体质量增长(GWG)分为GWG异常组(n=51)与GWG正常组(n=39)。比较BMI异常组与BMI正常组及GWG异常组与GWG正常组空腹血糖(FBG)、餐后2 h血糖(2 h PG)水平和妊娠期并发症及母婴不良妊娠结局发生情况。结果BMI异常组FBG、2 h PG水平均高于BMI正常组,差异有统计学意义(P<0.05);BMI异常组妊娠期高血压、妊娠期贫血、妊娠期糖尿病、产后出血发生率均高于BMI正常组,差异有统计学意义(P<0.05);BMI异常组早产、剖宫产、巨大儿、低出生体质量儿发生率均高于BMI正常组,差异有统计学意义(P<0.05)。GWG异常组FBG、2 h PG水平高于GWG正常组,差异有统计学意义(P<0.05);GWG异常组妊娠期高血压、妊娠期贫血、妊娠期糖尿病、产后出血发生率均高于GWG正常组,差异有统计学意义(P<0.05);GWG异常组早产、剖宫产、巨大儿、低出生体质量儿发生率均高于GWG正常组,差异有统计学意义(P<0.05)。结论孕前BMI和孕期体质量增加会影响孕妇孕期血糖水平,增加妊娠期并发症及母婴不良妊娠结局发生风险,临床应加强育龄期女性健康教育知识宣传,且孕妇及家属需重视BMI水平控制,合理饮食,加强锻炼。Objective To study the relationship between pre-pregnancy body mass index(BMI),gestational weight gain and gestational glucose,and the impact on maternal and neonatal adverse pregnancy outcomes.Methods 90 pregnant women who underwent prenatal check-up and filed in our hospital from December 2018 to December 2019 were selected as the study subjects,and they were divided into the BMI abnormal group(n=25)and BMI normal group(n=65)according to pre-pregnancy BMI,and divided into the GWG abnormal group(n=51)and GWG normal group(n=39)according to gestational weight gain(GWG).The levels of fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PG),pregnancy complications and adverse pregnancy outcomes were compared between BMI abnormal group and BMI normal group,and GWG abnormal group and GWG normal group.Results The levels of FBG and 2 h PG in the BMI abnormal group were higher than those in the BMI normal group,the differences were statistically significant(P<0.05);the incidences of gestational hypertension,gestational anemia,gestational diabetes mellitus and postpartum hemorrhage in the BMI abnormal group were higher than those in the BMI normal group,the differences were statistically significant(P<0.05);the incidences of premature delivery,cesarean section,macrosomia and low birth weight infants in the BMI abnormal group were higher than those in the BMI normal group,the differences were statistically significant(P<0.05);the levels of FBG and 2 h PG in the abnormal GWG group were higher than those in the normal GWG group,the differences were statistically significant(P<0.05);the incidences of gestational hypertension,gestational anemia,gestational diabetes mellitus and postpartum hemorrhage in the abnormal GWG group were significantly higher than those in the normal GWG group,the differences were statistically significant(P<0.05);the incidences of premature delivery,cesarean section,macrosomia and low birth weight infants in the abnormal GWG group were higher than those in the normal GWG group,the differences

关 键 词：体重指数 血糖 母婴不良妊娠结局 妊娠期并发症 

分 类 号：R715.3[医药卫生—妇产科学]