妊娠糖尿病患者孕中晚期增重速率与妊娠期并发症、母婴结局关系研究  

Study on the relationship between weight gain rate in the middle and late pregnancy and pregnancy complications,maternal and infant outcomes in patients with gestational diabetes mellitus

作　　者：刘鲁霞 LIU Luxia(Department of Obstetrics,Shenxian People’s Hospital,Shandong Province,Liaocheng 252400,China)

机构地区：[1]山东省莘县人民医院产科,山东聊城252400

出　　处：《妇儿健康导刊》2023年第16期106-108,共3页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探究妊娠糖尿病(GDM)患者孕中晚期增重速率(WGR)与妊娠期并发症、母婴结局的关系。方法选取2020年1月至2022年4月山东省莘县人民医院收治的185例GDM患者为研究对象,根据孕中晚期WGR分为WGR过慢组(57例)、WGR正常组(76例)、WGR过快组(52例)。比较各组患者妊娠期并发症、母婴结局。结果三组患者妊娠高血压发生率比较,差异有统计学意义(P<0.05),其中WGR过快组患者发生率最高。三组新生儿巨大儿发生率比较,差异有统计学意义(P<0.05),其中WGR过快组患者发生率最高。结论孕中晚期WGR过快促使GDM患者发生妊娠高血压、分娩巨大儿的概率上升。Objective To explore the relationship between weight gain rate(WGR)and pregnancy complications,maternal and infant outcomes in patients with gestational diabetes mellitus(GDM)in the middle and late pregnancy.Methods A total of 185 patients with GDM in Shenxian People’s Hospital of Shandong Province from January 2020 to April 2022 were selected as the study subjects.According to the WGR in the middle and late pregnancy,they were divided into the slow WGR group(57 cases),the normal WGR group(76 cases),and the fast WGR group(52 cases).The pregnancy complications and the maternal and infant outcomes of patients in each group were compared.Results There was significant difference in the incidence of hypertensive disorders of pregnancy among the three groups(P<0.05),which was the highest in the fast WGR group.There was significant difference in the incidence of macrosomia among the three groups(P<0.05),which was the highest in the fast WGR group.Conclusion The rapid WGR in the middle and late pregnancy promotes the probability of gestational hypertension and macrosomia in patients with GDM.

关 键 词：妊娠糖尿病 孕中晚期 增重速率 母婴结局 产科并发症 

分 类 号：R715.3[医药卫生—妇产科学]