经产与初产高龄妊娠期糖尿病孕妇血脂检验结果对比分析  

Comparative analysis of blood lipid test results between menopause and primiparous older pregnant women with diabetes

作　　者：宁晓华 Ning Xiaohua(Department of Laboratory,Songyuan Integrated Traditional Chinese and Western Medicine Hospital,Songyuan 138000,China)

机构地区：[1]松原市中西医结合医院检验科,吉林松原138000

出　　处：《实用妇科内分泌电子杂志》2023年第34期19-21,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的对比分析经产与初产高龄妊娠期糖尿病孕妇的血脂检验结果。方法选取本院100例高龄妊娠期糖尿病孕妇为研究对象,依据孕妇既往分娩情况分为对照组50例(初产妇)、探讨组50例(经产妇)。于孕20~28周及孕38~42周进行血脂四项检测,比较两组的血脂检验结果及妊娠结局。结果孕24~28周,探讨组高密度脂蛋白胆固醇水平低于对照组,低密度脂蛋白胆固醇水平高于对照组,差异有统计学意义(P<0.05);孕24~28周,探讨组总胆固醇、三酰甘油、低密度脂蛋白胆固醇水平高于对照组,高密度脂蛋白胆固醇水平低于对照组,差异有统计学意义(P<0.05);两组前置胎盘、胎盘早剥发生率比较差异无统计学意义(P>0.05);两组不良妊娠结局发生率比较差异有统计学意义(P<0.05)。结论经产和初产高龄妊娠期糖尿病孕妇存在血脂检验结果差异,且伴随孕周增加,经产高龄妊娠期糖尿病孕妇的血脂异常情况更为显著,血脂异常也增加了经产高龄妊娠期糖尿病孕妇妊娠期并发症和不良妊娠结局的发生风险。Objective The blood lipid test results of the elderly pregnant women with diabetes in the period of menstruation and primipara were compared and analyzed.Methods 100 elderly pregnant women with diabetes in pregnancy in our hospital were selected as the research object,and were divided into the control group of 50 cases(primipara)and the study group of 50 cases(multipara)according to the previous delivery situation of pregnant women.Four blood lipid tests were conducted at 20-28 weeks of pregnancy and 38-42 weeks of pregnancy to compare the blood lipid test results and pregnancy outcomes between the two groups.Results At 24-28 weeks of pregnancy,the levels of high-density lipoprotein cholesterol in the study group were lower than those in the control group,while the levels of low-density lipoprotein cholesterol were higher than those in the control group,with statistical significance(P<0.05);At 24-28 weeks of pregnancy,the total cholesterol,triglycerides,and low-density lipoprotein cholesterol levels in the study group were higher than those in the control group,while the high density lipoprotein cholesterol levels were lower than those in the control group,with statistical significance(P<o.05);There was no statistically significant difference in the incidence of placenta previa and placental abruption between the two groups(P>0.05);The difference in the incidence of adverse pregnancy outcomes between the two groups was statistically significant(P<0.05).Conclusion There is a difference in the blood lipid test results between the elderly pregnant women with diabetes during menstruation and the first trimester,and with the increase of gestational weeks,the blood lipid abnormalities of the elderly pregnant women with diabetes during menstruation are more significant,and the blood lipid abnormalities also increase the risk of pregnancy complications and adverse pregnancy outcomes of the elderly pregnant women with diabetes during menstruation.

关 键 词：高龄孕妇 妊娠期糖尿病 经产妇 初产妇 血脂检验 

分 类 号：R714.256[医药卫生—妇产科学]